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Journal articles on the topic 'Surgical traumatology'
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Heckman, James D. "Surgical Techniques in Orthopaedics and Traumatology." Journal of Bone and Joint Surgery-American Volume 84, no. 4 (April 2002): 707. http://dx.doi.org/10.2106/00004623-200204000-00054.
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Horan, F. "Surgical techniques in orthopaedics and traumatology." Journal of Bone and Joint Surgery. British volume 84-B, no. 5 (July 2002): 777. http://dx.doi.org/10.1302/0301-620x.84b5.0840777.
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No, Giorgio, Gabriele Tonellini, Fabio Mazzoleni, Davide Sozzi, and Alberto Bozzetti. "Surgical Navigation Recording Systems in Orbitozygomatic Traumatology." Journal of Craniofacial Surgery 23, no. 3 (May 2012): 890–92. http://dx.doi.org/10.1097/scs.0b013e31824e6993.
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McCrory, P. "Surgical techniques in orthopaedics and sports traumatology." British Journal of Sports Medicine 39, no. 6 (June 1, 2005): 370. http://dx.doi.org/10.1136/bjsm.2003.015966.
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Mordini, Lorenzo, Po Lee, Ricardo Lazaro, Roberto Biagi, and Luca Giannetti. "Sport and Dental Traumatology: Surgical Solutions and Prevention." Dentistry Journal 9, no. 3 (March 23, 2021): 33. http://dx.doi.org/10.3390/dj9030033.
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Trauma is a worldwide cause of millions of deaths and severe injuries every year, all over the world. Despite the limited extension of the oral region compared to the whole body, dental and oral injuries account for a fairly high percentage of all body traumas. Among head and neck traumas, dental and facial injuries are highly correlated to sport activities, and their management can be a real challenge for practitioners of any specialty. In case of trauma directed to periodontal structures, restorative and endodontic solutions may not be sufficient to achieve a definitive and long-lasting treatment. This article aims to illustrate surgical options and appliances to prevent dental injuries that may be available to the clinicians treating dental trauma involving oral soft and hard tissues.
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Georgescu, Nicolae. "The history of orthopedics and traumatology in Iasi." Jurnalul de Chirurgie 17, no. 1 (April 20, 2021): 56–62. http://dx.doi.org/10.7438/jsurg.2021.01.08.
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In Iasi, Orthopedics-Traumatology later appeared as a distinct specialty. In a first stage, orthopedics developed in surgical clinics - the period of surgical clinics (1879-1970). In each surgical clinic there were surgeons who dedicated themselves to orthopedic pathology: Radu Dimitrie, Theodor Căpățînă (Surgery I), Filimon Cicerone, Eusebiu Neagoe, Iulian Grădinaru (Surgery II), Paul Trosc (Surgery III). In 1967, at the Charity Hospital, two surgical services were carried out: The Surgery and Children's Orthopedic Clinic (Th. Economu) and the Osteoarticular Tuberculosis Clinic (A. Berneaga). Also, this year, 1970, in Iasi, the construction of a new medical unit will be completed - the Children's Hospital where the Clinic of Pediatric Surgery and Orthopedics will be moved. The Charity Hospital is disbanded and the Emergency Clinical Hospital will be established on the site of the former establishment. A second period begins - the transition period (1970-1983) - characterized by the search for optimal solutions, which involved changes and temporary until the establishment of orthopedic clinics. The newly established unit, the Emergency Clinical Hospital, was designed to include three departments: General Surgery IV (I. Jitaru), Medical Clinic (G. Popa) and an Orthopedics and Traumatology Clinic (conf. Gh. Floareș). This clinic treated all surgical pathology of orthopedics, traumatology and had didactic activity with fourth year students. The Orthopedics-Traumatology Department had 40 beds. There is also an Orthopedics-Traumatology department, with 40 beds, located in the Dr. C. I. Parhon Hospital run first by A. Berneaga and then by P. Trosc. Dimitrie Radu, Iulian Grădinaru and G. Herescu worked in this department. A new Recovery Hospital appears in Iasi. The new hospital also has an Orthopedics-Traumatology department (with 111 beds) where the orthopedics department will be transferred from Parhon Hospital. In 1983, Professor Gh. Floareș opted to move the clinic from the Emergency Hospital to the new Rehabilitation Hospital. At the Emergency Hospital there remains an Orthopedics-Traumatology Department staffed by a single doctor - Nicolae Georgescu who will develop a new team, which also have teaching activity: T. Cozma, L. Stratan, P. Sîrbu, Ovidiu Alexa, Paul Corlaci, Cezar Popescu. There are eight resident doctors (Elena Glod, Luminița Lăbușcă, Victor Pencu, G. Ghinoiu, C. Nanu, T. Bunescu, R. Malancea, L. Pacu). During this period (1992-1996) a basic A.O. course was organized in Iași. internationally, on which occasion many orthopedists are persuaded to routinely use modern means of osteosynthesis. Two more doctors come in this clinic: B. Puha, R. Asaftei, D. Cionca and A. Ciubara. After 1989, the ATOM was born: The Association of Traumatologists and Orthopedists of Moldova, congresses and postgraduate courses are organized. In 2012 the Orthopedic Clinic moved to the St. Spiridon Emergency Clinical Hospital (Prof. Ovidiu Alexa). The orthopedic clinic at the Recovery Hospital treats chronic osteoarticular pathology (prof Paul Sirbu).
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Padilla, Antonio Hurtado, José Antonio Canales Nájera, Salvador de la Cruz Alvarez, and Fernando Guevara Villazón. "Surgical treatment of Scheuermann´s disease by the posterior approach. Case series." Coluna/Columna 14, no. 1 (March 2015): 14–17. http://dx.doi.org/10.1590/s1808-1851201514010r120.
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OBJECTIVE: To describe the results of surgical treatment of Scheuermann's disease by the posterior approach. METHOD: A descriptive, retrospective, longitudinal study in which patients with Scheuermann's disease, treated surgically by the posterior approach at the Hospital de Traumatologia y Ortopedia [Hospital for Traumatology and Orthopedics] "Lomas Verdes" IMSS. The Cobb method was used to measure the kyphosis in all the patients, of T5-T12. The surgical technique used was vertebral shortening by the Ponte osteotomy technique, at the apex of the deformity, accompanied by transpedicular instrumentation and posterior arthrodesis. RESULTS: Five patients were included; three men and two women, with an average age of 16.6 years. The initial average kyphosis was 76º, which was corrected to 42º after surgery. Blood loss was 590 ml, with a surgery time of 3 hours. Three patients were submitted to neurophysiological monitoring. No neurological lesion was found. There was no loss of correction at 6 months of evolution. CONCLUSIONS: The vertebral shortening technique with posterior instrumentation eliminates the use of the anterior approach to release the anterior longitudinal ligament. Osteotomies by the Ponte technique make the spine more flexible, and together with pedicular instrumentation, correct the deformity and preserve the correction over time.
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Samokhin, Aleksandr G., Yu N. Kozlova, E. A. Fyodorov, and V. V. Pavlov. "Prospective for the development of infectious complications prevention methods after large joints arthroplasty." N.N. Priorov Journal of Traumatology and Orthopedics 24, no. 4 (December 15, 2017): 62–66. http://dx.doi.org/10.17816/vto201724462-66.
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The review gives the characteristics of the general status of the problem of infection in the zone of surgical intervention including the field of traumatology and orthopaedics. The shortcomings of antibiotic use and methods of their local delivery for surgical and orthopaedic needs are considered. The conception of local use of antibacterial agents and the requirements for the current “ideal” antibacterial agent are given. Classification of the local antibiotic delivery systems on the basis of their physicochemical properties is presented as well as the number of prospective methods for the prevention of microorganisms’ adhesion on the surface of the implanted devices and systems that could be used in traumatology and orthopaedics are examined.
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Samokhin, A. G., Yu N. Kozlova, E. A. Fyodorov, and V. V. Pavlov. "Prospective for the Development of Infectious Complications Prevention Methods after Large Joints Arthroplasty." Vestnik travmatologii i ortopedii imeni N.N. Priorova, no. 4 (December 30, 2017): 62–66. http://dx.doi.org/10.32414/0869-8678-2017-4-62-66.
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The review gives the characteristics of the general status of the problem of infection in the zone of surgical intervention including the field of traumatology and orthopaedics. The shortcomings of antibiotic use and methods of their local delivery for surgical and orthopaedic needs are considered. The conception of local use of antibacterial agents and the requirements for the current “ideal” antibacterial agent are given. Classification of the local antibiotic delivery systems on the basis of their physicochemical properties is presented as well as the number of prospective methods for the prevention of microorganisms’ adhesion on the surface of the implanted devices and systems that could be used in traumatology and orthopaedics are examined.
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Ethelie, Stanislaus Gerald, Adi Imam Tjahjadi, and Andri Primadhi. "Antibiotic Use Pattern in Orthopaedics and Traumatology Ward: A 6 Month Survey in A Tertiary Hospital." International Journal of Integrated Health Sciences 7, no. 2 (September 2019): 67–73. http://dx.doi.org/10.15850/ijihs.v7n2.1522.
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Objective: To determine and describe the antibiotic use pattern in the orthopedics and traumatology ward of Dr. Hasan Sadikin General Hospital Bandung as a tertiary hospital in West Java, Indonesia. Methods: A retrospective cross-sectional study using the total sampling method was performed on the medical records of orthopedics and traumatology patients treated using antibiotics during the period of January 1, 2016 and June 31, 2016. Results: From the 261 subjects who met the inclusion criteria, it was discovered that the most common antibiotics used were in the following order: cefazolin (54.41%), ceftriaxone (21.84%), and cefotaxime (10.35%). Most antibiotics (75.86%) were given as prophylaxis. Antibiotics were most often administered for 2-3 days (42.53%), intravenously (97.7%), and with a dose of 2x1 gram (92.16%). Conclusion: The most frequently used antibiotics in the orthoaedics and traumatology ward of Dr. Hasan Sadikin General Hospital (RSHS) was cefazolin, which was mostly used as a pre-surgical antibiotic. The use of third-generation cephalosporin antibiotics as pre-surgical antibiotics is still observed during this study.
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Akhtiamov, I. F., and I. O. Pankov. "Anniversary of the Kazan school of traumatology and orthopaedics." N.N. Priorov Journal of Traumatology and Orthopedics 25, no. 3-4 (December 15, 2018): 139–43. http://dx.doi.org/10.17116/vto201803-041139.
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Two acting heads of the chairs of Kazan universities present a short historical background on the formation of the Kazan School of Traumatology and Orthopedics. The organization by Professor M.O. Friedland of a prosthetic-orthopedic infirmary in 1918 and subsequent organization of the chair of traumatology and orthopaedics at Kazan state institute for the improvement of physicians’ knowledge and skills is considered to be the starting point. However since the middle of the 19century the medical care was rendered in injuries and at Kazan University students were trained in surgical science and treatment of fractures. The first experience in anesthesia, introduction of antiseptics, improvement of desmurgy and the treatment of gunshot wounds were the basis for any surgical specialty. German professors, the founders of Kazan University, laid down the foundations and their first students N.I. Studenskiy, V.I. Razumovskiy and M.O. Fridland has contributed to the formation of a specialty in Kazan. At present time the chairs of traumatology and orthopaedics are organized at three universities and at the Center for High Technologies every physician and surgeon have an opportunity and to acquire new knowledge and skills.
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Maksimovic, Jadranka, Ljiljana Markovic-Denic, Marko Bumbasirevic, and Jelena Marinkovic. "Nosocomial infections in the departments of orthopedics and traumatology." Vojnosanitetski pregled 62, no. 7-8 (2005): 507–11. http://dx.doi.org/10.2298/vsp0508507m.
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Aim. To determine the incidence and the localization of nosocomial infections (NI) in the departments of orthopedics and traumatology. Methods. A prospective cohort study carried out between February 1 and July 31, 2002 included all of the surgical patients who were hospitalized longer than 48 hours, as well as 30 days after the discharge. The patients were examined and their diagnoses made according to the definition of NI, that was based on the clinical and/or laboratory findings. Results. Out of 277 hospitalized patients, 78 had a total of 91 NIs. Sixty seven (85.8%) of the patients had 1 registered NI each, 9 (11.6%) of the patient had 2 NIs each, while only the 2 (2.6%) were with 3 NIs. The incidence of the patients with HAI was 28.2% (95% IP = 22.9-33.5), while the incidence of HAI was 32.8%. The patients who developed a NI were hospitalized almost twice as long as the patients who did not (t test = 6.0, DF = 275, p < 0.001). In regard to the duration of hospitalization, the incidence of NI was 12.3 per 1000 patient-hospital days. The patients operated on most frequently had the surgical-site infections (69.2%). Of 63 infections of the surgical site, 3 patients (4.8%) were diagnosed as having the NI at that localization following the discharge, and then the urinary tract infections, 25.3% (23/91), and sepsis, 5.5% (5/91). Conclusion. Epidemiological surveillance was the first step towards the prevention and the eradication of NI. The results of this study could be of use in planning of the adequate measures for the prevention of NI in the departments of orthopedic surgery.
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Lazarev, A. F. "Arguments and Facts of Thrombosis Prophylaxis in Surgical Traumatology and Orthopaedics." N.N. Priorov Journal of Traumatology and Orthopedics 20, no. 3 (September 15, 2013): 36–42. http://dx.doi.org/10.17816/vto201320336-42.
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Modern data on the rate of venous thromboembolism development after orthopaedic surgeries as well as the results of international prospective ETHOS study (17 countries including Russia, 161 centers) are presented. The aim of the study was to assess post-operative venous thromboembolism prophylaxis prescribed and received in patients after high-risk orthopaedic surgeries (total hip arthroplasty, femur osteosynthesis, total knee arthroplasty) as compared with the 2004 American College of Chest Physicians (ACCP) guidelines. Peculiarities of thrombosis prophylaxis in Russia centers are shown.
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Puricelli, Edela, and Deise Ponzoni. "Submandibular approach for orotracheal intubation in Oral and Maxillofacial Surgery and Traumatology." Research, Society and Development 10, no. 12 (September 13, 2021): e49101220158. http://dx.doi.org/10.33448/rsd-v10i12.20158.
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Introduction: Submandibular tracheal intubation is a technique that can be applied in Oral and Maxillofacial Surgery and Traumatology, as well as other surgical specialties. Its main advantages are helping in the surgical manipulation of the middle facial skeleton and jaw and allowing the intraoperative control of dental occlusion. The technique is an alternative to elective tracheostomy. Objective and case report: The article presents the treatment of an adult patient, with sequelae of multiple fractures in the face due to a car accident, with endotracheal intubation using submandibular approach. Final considerations: In large surgical manipulations of the face, the submandibular approach for tracheal intubation allows a faster, facilitated anatomical access with a lower risk of damage to adjacent structures when compared to other pathways. It also guarantees excellent cervical mobility, the possibility of wide manipulation and the use of occlusion as a guide for surgical intervention.
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V.A., Lanshakov. "Operative Trearment Unoperative Chronic and Massive Rotator Cuff Tendon Rupture of the Shoulder." KnE Materials Science 2, no. 1 (July 17, 2017): 398. http://dx.doi.org/10.18502/kms.v2i1.825.
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In clinic of traumatology and orthopedics GBOU DPO NGIUV was treated 125 patients with tendon rupture rotators of the shoulder joint, in which treatment was used as the classic methods of surgical treatment, and we have developed approaches and methods of surgical treatment with the use of sutures and staples of nickelid titanium allowing to bring the number of positive outcomes to 84.8%.
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Vlasov, Maksim Valer'evich, A. B. Bogos'yan, N. A. Tenilin, M. V. Vlasov, A. B. Bogos'yan, and N. A. Tenin. "Surgical Correction of Congenital Planovalgus Foot Deformity in Children." N.N. Priorov Journal of Traumatology and Orthopedics 18, no. 4 (December 15, 2011): 23–26. http://dx.doi.org/10.17816/vto201118423-26.
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During the period from 2002 to 2008 seventeen children with III degree of congenital planovalgus foot deformity (29 feet) were operated on at orthopaedic department of Nizhniy Novgorod Scientific Research Institute of Traumatology and Orthopaedics using new technique of surgical correction. In all cases long term results were assessed within the period from 3 to 10 years after operation. Good and satisfactory results were achieved in 21 and 8 feet, respectively. Neither poor results nor recurrences were observed.
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Tscholl, Philippe M., Peter P. Koch, and Sandro F. Fucentese. "Treatment options for patellofemoral instability in sports traumatology." Orthopedic Reviews 5, no. 3 (September 11, 2013): 23. http://dx.doi.org/10.4081/or.2013.e23.
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Patellofemoral instability not only involves lateral patellar dislocation, patellar mal-tracking or subluxation but can also cause a limiting disability for sports activities. Its underlying causes are known as morphological anomalies of the patellofemoral joint or the mechanical axis, femorotibial malrotation, variants of the knee extensor apparatus, and ligamentous insufficiencies often accompanied by poor proprioception. Athletes with such predisposing factors are either suffering from unspecific anterior knee pain or from slightly traumatic or recurrent lateral patellar dislocation Treatment options of patellar instability are vast, and need to be tailored individually depending on the athlete’s history, age, complaints and physical demands. Different conservative and surgical treatment options are reviewed and discussed, especially limited expectations after surgery.
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Maksimovic, Jadranka, Ljiljana Markovic-Denic, Marko Bumbasirevic, and Jelena Marinkovic. "Incidence of surgical site infections in the departments of orthopedics and traumatology." Vojnosanitetski pregled 63, no. 8 (2006): 725–29. http://dx.doi.org/10.2298/vsp0608725m.
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Background/aim: Besides infections of urinary tract and pneumonias, as well as blood infections, surgical site infections (SSI) represent one of the most common localization of hospital infections. The aim of this study was to determine the incidence of SSI in the departments of orthopedics and traumatology as well as the SSI incidence in relation to the ASA score, surgical site contamination class and NNIS index. Methods. A prospective cohort study followed daily all the surgical patients hospitalized over 48 hours in the Institute for Orthopedic Surgery and Traumatology, Clinical Center of Serbia, as well as 30 days after the discharge, during the period between February 1 to July 31, 2002. The patients were examined and their diagnoses made according to the definition of hospital infections, i.e. upon clinical and/or laboratory analyses, using concurrently the ASA score, surgical site contamination class and NNIS index. Results. Out of 227 surgical patients, 60 were diagnosed with SSI during their hospitalization, while 3 of the patients developed SSI after the discharge. The incidence of SSI was 22.7% (95% CI = 17.8?27.6). In the patients with good health condition, i.e. ASA ? 2, the incidence of SSI was 18.3% (43/235) and in those with ASA > 2, it was 47.6% (20/42) (?2 = 17.4; p < 0.001). The incidence of SSI was 13.5% (25/185) in the clean wounds, 11.6% (5/43) in purely contaminated, while it was much higher in the contaminated 65.5%; (19/29) and soiled 70.0%; (14/20) wounds (?2 = 67.6; p < 0.001). The incidence of SSI in relation to NNIS was 8.1% (13/161) in the patients with score 0, then 36.4% (32/88) in the patients with score 1, and 64.3% (18/28) in the patients with the scores 2 and 3 (?2 = 57.3; p < 0.001). The patients with SSI stayed in the departments of orthopedics and traumatology approximately 1.8 times longer than the patients without SSI (t = 5.3; DF = 275; p < 0.0019. Conclusion. It is important to emphasize the need for constant epidemiological surveillance of SSI and the implementation of preventive measures in Serbia.
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Trisolino, Giovanni, Renato Maria Toniolo, Lorenza Marengo, Daniela Dibello, Pasquale Guida, Elena Panuccio, Andrea Evangelista, et al. "Resilience Against COVID-19: How Italy Faced the Pandemic in Pediatric Orthopedics and Traumatology." Children 8, no. 7 (June 22, 2021): 530. http://dx.doi.org/10.3390/children8070530.
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Background: We aimed to investigate the variation of medical and surgical activities in pediatric orthopedics in Italy, during the year of the COVID-19 pandemic, in comparison with data from the previous two years. The differences among the first wave, phase 2 and second wave were also analyzed. Methods: We conducted a retrospective multicenter study regarding the clinical and surgical activities in pediatric orthopedics during the pandemic and pre-pandemic period. The hospital databases of seven tertiary referral centers for pediatric orthopedics and traumatology were queried for events regarding pediatric orthopedic patients from 1 March 2018 to 28 February 2021. Surgical procedures were classified according to the “SITOP Priority Panel”. An additional classification in “high-priority” and “low-priority” surgery was also applied. Results: Overall, in 2020, we observed a significant drop in surgical volumes compared to the previous two years. The decrease was different across the different classes of priority, with “high-priority” surgery being less influenced. The decrease in emergency department visits was almost three-fold greater than the decrease in trauma surgery. During the second wave, a lower decline in surgical interventions and a noticeable resumption of “low-priority” surgery and outpatient visits were observed. Conclusion: Our study represents the first nationwide survey quantifying the impact of the COVID-19 pandemic on pediatric orthopedics and traumatology during the first and second wave.
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Voloshin, Mykyta, and Andrеy Khmyzov. "Peculiarities of anaesthesiological provision for surgical interventions in paediatric orthopaedics and traumatology." ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS, no. 4 (April 14, 2010): 119. http://dx.doi.org/10.15674/0030-598720104119-121.
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Benyan, A. S. "Surgical Stabilization of the Chest in Multiple and Floating Rib Fractures." N.N. Priorov Journal of Traumatology and Orthopedics 22, no. 3 (September 15, 2015): 86–92. http://dx.doi.org/10.17816/vto201522386-92.
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One of the complicated problems at the interface of thoracic surgery and traumatology is the treatment of multiple and floating rib fractures. Its urgency is determined by the high rate of complications and level of mortality. Analysis of surgical stabilization techniques in multiple and floating rib fractures is performed. Both the methods of historical significance and widely used at present are described. Data on the efficacy of various stabilization techniques are presented.
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Benyan, A. S. "Surgical Stabilization of the Chest in Multiple and Floating Rib Fractures." Vestnik travmatologii i ortopedii imeni N.N. Priorova, no. 3 (September 30, 2015): 86–92. http://dx.doi.org/10.32414/0869-8678-2015-3-86-92.
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One of the complicated problems at the interface of thoracic surgery and traumatology is the treatment of multiple and floating rib fractures. Its urgency is determined by the high rate of complications and level of mortality. Analysis of surgical stabilization techniques in multiple and floating rib fractures is performed. Both the methods of historical significance and widely used at present are described. Data on the efficacy of various stabilization techniques are presented.
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Kotiv, B. N., Al A. Kurygin, I. I. Dzidzava, and V. V. Semenov. "Academician Semyon Semyonovich Girgolav (1881–1957) (to the 140th anniversary of the birth)." Grekov's Bulletin of Surgery 180, no. 2 (August 20, 2021): 7–11. http://dx.doi.org/10.24884/0042-4625-2021-180-2-7-11.
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Professor Semyon Semyonovich Girgolav was born on February 2 (14), 1881 in Tiflis (Tbilisi) in a large family of the hereditary honorary citizen of St. Petersburg Semyon Gavrilovich Girgolav. In 1899, he graduated from the Second St. Petersburg Classical Gymnasium with a silver medal and immediately entered the Imperial Military Medical Academy, from which he graduated with honors in 1904. Under the guidance of M. S. Subbotin, S. S. Girgolav prepared and in 1907 successfully defended his doctoral dissertation «Experimental data on the use of an isolated omentum in abdominal surgery». In 1912, Semyon Semyonovich was elected by the Conference of the Academy as a privatdozent of the general surgery clinic, and in 1914, he was confirmed as a senior assistant of the clinic. In the 1920/21 academic year, S. S. Girgolav introduced mandatory practical classes in general surgery for the first time in our country, where students studied and mastered the methods of asepsis and antiseptics, mastered the methods of examining patients with surgical diseases, methods of applying various bandages and transportation splints, techniques for temporary hemostasis, etc. In 1932, Semyon Semyonovich was appointed Deputy Director for the scientific part of the Leningrad Research Institute of Traumatology and Orthopedics (now the Russian Research Institute of Traumatology and Orthopedics named after R. R. Vreden). In the pre-war years, the main direction of scientific research of S. S. Girgolav and his staff in the hospital surgery clinic was the study of the regularities of the wound process and wound healing in surgical pathology. S. S. Girgolav applied much efforts and energy to the problems of traumatology. He developed the technique of a number of original surgical operations for acute fractures of long bones, the habitual dislocation of the shoulder joint. Semyon Semyonovich’s scientific heritage is great and multifaceted. He has published more than 140 scientific papers on general, military and thoracic surgery, traumatology, neurosurgery, surgical endocrinology and oncology, combustiology, pathology and therapy of frostbites and burns. Under the supervision of S. S. Girgolav, more than 20 doctoral and 45 candidate theses were prepared and defended. For outstanding services to the Motherland in peace and war, S. S. Girgolav was awarded two Orders of Lenin, three Orders of the Red Banner, the Order of the Red Banner of Labor, the Order of the Red Star, many medals and badges of honour. Academician Semyon Semyonovich Girgolav died on January 25, 1957 in Leningrad and was buried at the Bogoslovskoe Cemetery.
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Mabit, C., P. S. Marcheix, M. Mounier, P. Dijoux, N. Pestourie, P. Bonnevialle, and F. Bonnomet. "Impact of a surgical site infection (SSI) surveillance program in orthopedics and traumatology." Orthopaedics & Traumatology: Surgery & Research 98, no. 6 (October 2012): 690–95. http://dx.doi.org/10.1016/j.otsr.2012.08.001.
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Losco, Michele, Filippo Familiari, Francesco Giron, and Rocco Papalia. "Use and Effectiveness of the Cadaver-Lab in Orthopaedic and Traumatology Education: An Italian Survey." Joints 05, no. 04 (December 2017): 197–201. http://dx.doi.org/10.1055/s-0037-1608949.
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Purpose The purpose of this study is to provide basic information on the availability and current use of cadaver laboratories in the education of orthopaedic residents and trainees and to determine the interest for the implementation of this type of training. Methods All Orthopaedic residents and trainees who attended a cadaver laboratory organized by SIGASCOT (Italian Society of the Knee, Arthroscopy, Sports Traumatology, Cartilage and Orthopaedic Technology) between 2013 and 2016 were asked to complete a survey on the availability and current use of cadaver laboratories in the education of Orthopaedic residents and trainees. The survey was sent via e-mail to 102 Orthopaedic residents and trainees. All data were analyzed and all responses are presented as counts, percentages, or means. Results Thirty-eight (37.2%) Orthopaedics and traumatology residents and trainees completed the survey and were included in this analysis. Eighteen trainees (18/38; 44.3%) attended a cadaver laboratory focused on lower limb surgery, whereas 20 (20/38; 52.7%) on upper limb surgery. Twenty participants (55.7%) perceived skills laboratory sessions as extremely beneficial to the understanding and becoming familiar with the normal surgical anatomy; moreover, 16 (45.7%) participants considered the cadaver laboratory extremely beneficial to the understanding of a specific surgical technique and very beneficial (44.4%) to become confident with arthroscopic or other specific surgical instruments. Over 60% of participants perceived cadaver laboratory to be very to extremely beneficial to increase confidence and speed in the operating room (OR), and more than a half of them considered skills laboratory sessions to be extremely beneficial to increase participation and decrease the occurrence of damages in the real surgical activity. Conclusion Orthopaedic residents and trainees found the addition of a cadaver laboratory for teaching surgical skills a significant benefit to both their overall education and surgical skills training. Level of Evidence Level IV, survey study.
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Algado-Sellés, Natividad, Paula Gras-Valentí, Juan Gabriel Mora-Muriel, Pablo Chico-Sánchez, Marina Fuster-Pérez, Sandra Canovas-Javega, Cesar O. Villanueva-Ruiz, et al. "Evolution and Associated Factors of Hand Hygiene Compliance in the Surgical Areas of a Tertiary-Care Hospital." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s231—s232. http://dx.doi.org/10.1017/ice.2020.781.
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Background: Hand hygiene (HH) is the most important measure for preventing healthcare-associated infections. The objective is to gain insight into the evolution of the degree of compliance with recommendations (DCR) on HH and its associated factors in the surgical areas of a tertiary-care hospital. Methods: This observational, cross-sectional study, was repeated over time, with direct observation of the DCR on HH during the daily activity of healthcare workers in surgical areas: general surgery, urology, vascular surgery, traumatology, neurosurgery, thoracic surgery, heart surgery, pediatric surgery, otorhinolaryngology, gynecology and obstetrics, ophthalmology. Over 14 years (from 2005 to 2018), 15,946 HH opportunities were registered, together with different additional variables (age, sex, professional position, surgical area ). The 2 test was used to study the association and the crude, and adjusted odds ratios were used to quantify its magnitude. Results: The DCR on HH in surgical areas was 49.7% (95% CI, 48.9%–50.5%), and in the group of nonsurgical areas it was 53.4% (95% CI, 53.1%–54.1%). The area with the highest degree of compliance was urology (56.7%; 95% CI, 53.9%–59.6%), and the area with the lowest degree of compliance was traumatology (43.3%; 95% CI, 40.4%–46.2%). Some associated factors were the indications after an activity has been performed (58.6%; aOR, 2.7; 95% CI, 2.5–2.9) and the availability of pocket-size alcohol-based disinfectant (63.8%; aOR, 2.4; 95% CI, 2.2–2.5). Conclusions: The DCR on HH in surgical areas is lower than in other hospital areas, and there is still some margin for improvement. We have identified some modifiable factors that have an independent association with HH compliance in surgical areas. Focusing on them will increase compliance with HH with the ultimate goal of reducing healthcare-associated infections.Funding: NoneDisclosures: None
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Reshetov, I. V., R. M. Tikhilov, A. Yu Kochish, and I. I. Shubnyakov. "TRAUMATOLOGY AND ORTHOPEDICS RESEARCH SPECIALITY IN 2017: DISSERTATIONS ANALYSIS." Traumatology and Orthopedics of Russia 24, no. 3 (October 7, 2018): 9–18. http://dx.doi.org/10.21823/2311-2905-2018-24-3-9-18.
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The authors present a short analysis of autoabstracts of all theses in traumatology and orthopedics speciality (14.01.15), 10 doctoral and 59 candidate theses, that were defended at 11 dedicated dissertation boards starting mid of October 2016 until mid of October 2017 and underwent expert reviews during 2017 in expert council of the Higher certifying commission on surgical science.The absolute majority of 26 papers in traumatology (16 candidate and 5 doctoral theses) were dedicated to treatment of patients with different fractures and another 5 candidate theses examined issues of arthroscopic procedures in case of a trauma. 25 dissertations in orthopedics mainly reviewed aspects of large joints replacement (6 candidate and 3 doctoral these) and treatment of periprosthetic infection (4 candidate theses). Spine pathologies (5 candidate theses) and oncology orthopedics (2 candidate theses) prevailed among dissertation topics on paediatric orthopedics. The only doctoral thesis on paediatric orthopaedics was dedicated to clubfoot.In accordance with recommended criteria of clinical Orthopaedics and Related Research journal 40 (67,8%) candidate theses and 2 (20%) doctoral theses corresponded to evidence level III, 17 (28,8%) candidate and 8 (80%) doctoral theses were classified as evidence level IV and only 2 candidate theses (3,4%) formally corresponded to evidence level II.
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Nagea, Mihail, Olivera Lupescu, Gheorghe Ion Popescu, and Iulian Vasile Antoniac. "Algorithms for Clinical Indications of Bone Substitutes - Component of Training in Orthopaedic Surgery." Key Engineering Materials 758 (November 2017): 217–22. http://dx.doi.org/10.4028/www.scientific.net/kem.758.217.
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Modern traumatology is characterised by increasingly severe injuries, with significant soft tissue and bone loss; therefore, restoration of functional anatomy regards bone filling with proper bone integration, and otherwise surgical reconstruction is useless. Therefore, orthopaedic surgeons must have not only surgical skills, but thorough knowledge about the properties and indications of bone substitutes, which can improve surgical results in treating especially comminuted fractures. Integrating the clinical experience from a Level 1 Trauma Centre with didactic principles, and using e-learning as an educational tool, this paper refers to establishing an algorithm of clinical indications of bone substitutes in orthopaedic surgery and to introducing it into the educational process of orthopaedic trainees, as a component of vocational training.
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Guillemin, Maxime, and Guillaume Giran. "Upper lip reconstruction after a dog bite." Journal of Oral Medicine and Oral Surgery 25, no. 1 (2019): 3. http://dx.doi.org/10.1051/mbcb/2018029.
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Observation: In traumatology, wounds of the lips are frequent and their care is often summarized in a suture in one or more planes. Defects at this level are rather rare. When they occur, it is important to study their areas and their size in order to offer the best reconstruction. When Abbes' flap is appropriate, surgical procedure is always achieved remotely from the trauma. Comments: This technique allows rebuilding one-third of the upper lip and gives good functional results and a satisfactory aesthetic result. A weaning of the flap at three weeks, regular follow-up, and prospective surgical revisions will be necessary.
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Baindurashvili, Alexei Georgievich, Sergei Valentinovich Vissarionov, Alexander Aleksandrovich Falinskii, and Karina Surenovna Solovyova. "MEDICAL CARE SERVICE FOR CHILDREN WITH SPINAL INJURIES IN SAINT-PETERSBURG." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 2, no. 4 (December 15, 2014): 8–14. http://dx.doi.org/10.17816/ptors248-14.
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The scientifically based organizational system of diagnosis, treatment and rehabilitation of children with fractures of the vertebrae is accepted in the medical institutions of St. Petersburg, including inpatient, sanatorium and outpatient care. Stages of conservative treatment in patients with vertebral compression fractures in the emergency departments of children’s general hospitals in St. Petersburg are reported, the St. Petersburg State budgetary institution of health care Children’s Rehabilitation Center of Orthopedics and Traumatology “Ogonyok” and children’s outpatient clinics. The algorithm is presented in details to provide advice and high-tech The St. Petersburg SFHI Children’s Rehabilitation Center of Orthopedics and Traumatology “Ogonek”, Saint-Petersburg surgical emergency care to children with unstable and complicated fractures of the vertebrae, which is carried out by experts of the Federal Children’s Center of spine and spinal cord injuries at the base of the department of spinal pathology and neurosurgery of FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation.
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Voronchikhin, Evgueny Vladimirovich, Vadim Vitalievich Kozhevnikov, Ludmila Grigorievna Grigoricheva, and Vadim Fedorovich Naidanov. "Minimally invasive technologies in the treatment of closed fractures of the intercondylar elevation of the knee: a clinical case." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 3, no. 4 (December 15, 2015): 48–50. http://dx.doi.org/10.17816/ptors3448-50.
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Тhis article presents a clinical case of the surgical treatment of a fracture in the intercondylar eminences of the knee joint in a 7-year-old child. Closed fractures of the intercondylar exaltation are mainly a characteristic of childhood. This type of damage occurs by dysfunction of the knee resulting from instability. Because the fracture of the intercondylar eminences of the knee joint in children is similar to the damage of the anterior cruciate ligament in adults, the current course of knee surgery is a minimally invasive technique. These include fixation of the intercondylar exaltation using video stroboscopy as well as the assistance of various implants (e.g., screw, wire, and Dacron). In the children's Department of Traumatology and Orthopedics of the Federal Center of Traumatology, Orthopedics and Endoprosthesis Replacement in Barnaul, various surgeries are performed, including arthroscopy of the right knee joint, intercondylar exaltation reposition, and fixation of the intercondylar exaltation latch Lupine (De PuyMitek).
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Sergeev, S. V., S. Ezmekna, L. I. Zelenshna, E. A. Novozhilova, V. L. Golubeva, I. A. Suvorova, T. M. Yurina, et al. "Tactics for Complex Prevention and Treatment of Purulent-Septic Complications in Clinical Traumatology." N.N. Priorov Journal of Traumatology and Orthopedics 10, no. 3 (September 15, 2003): 79–84. http://dx.doi.org/10.17816/vto200310379-84.
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The results of prevention and treatment of purulent and septic complications are presented. There were 21 patients with closed and open fractures and 21 patients with post-traumatic purulent complications and trauma sequelae. Thirteen patients had multiple and concomitant injuries. Treatment included the combination of surgical and conservative methods of fracture stabilization, antibiotic therapy as well as detoxication by efferent methods and immunocorrection.
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Polak, Wojciech G., S. Pawlowski, J. Skora, L. Morasiewicz, D. Janczak, M. Oleszkiewicz, and P. Szyber. "Gefäßkomplikationen nach der Behandlung mit dem Ilizarov-Ringfixateur." Vasa 30, no. 2 (May 1, 2001): 138–40. http://dx.doi.org/10.1024/0301-1526.30.2.138.
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Iatrogenic vascular injuries from external fixation in orthopaedics and traumatology are frequent. Three cases of vascular injuries after the treatment with Ilizarov external fixators were treated at our institution. These include two cases of pseudoaneurysms and one case of acute ischaemia of the lower limb. Two patients became symptomatic only after removal of the fixator. In all cases, the diagnosis was made by color flow duplex sonography. All vascular injuries needed surgical repair.
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Shah, Faaiz Ali, Mian Amjad Ali, and Umar Zia Khan. "SURGICAL SITE WOUND COMPLICATION." Professional Medical Journal 25, no. 10 (October 10, 2018): 1487–91. http://dx.doi.org/10.29309/tpmj/18.4603.
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Objectives: To compare the frequency of surgical site wound complicationrate between the skin closure with staples and polypropylene suture after elective hip surgery.Study Design: Prospective Randomized trial. Place and Duration of the Study: Orthopaedic& Traumatology Department Lady Reading Hospital from 13/03/2016 to 25/12/2017. Materialand Methods: All patients of either gender or age with intertrochanteric fractures fulfilling theinclusion criteria and fixed with dynamic hip screw (DHS) were randomly divided into two groups.Group A surgical site skin wounds were closed with metallic skin staples while Group B woundswere closed with polypropylene sutures. Wounds were examined for inflammation, necrosis,dehiscence, discharge and abscess on 3rd day, 2nd week, 4th, and 8th weeks in both groups andcompared. P value was considered significant if < 0.05. Results: Surgical site skin closure of100 patients were done with staples (group A, 50 patients) and interrupted polypropylene suture(group B, 50 patients). Baseline parameters of both groups had no significant differences. Meanage of group A and B patients were 61.6±SD 17.1 and 61.02±SD 19.2 respectively. Surgicalsite wound complications were reported in 9(18%) patients with staples closure and 8(16%)patients with suture closure (p > 0.05). Conclusion: We found no significance difference insurgical site complication rates of staples and suture closure in elective hip surgery patients.The operating surgeon can use closure material of his own choice.
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Khasanov, R. S., and N. S. Shamsutdinov. "Department of Traumatology, Orthopedics and Surgery of Extreme Conditions, Kazan State Medical University - 30 years." Kazan medical journal 79, no. 4 (July 15, 1998): 316–19. http://dx.doi.org/10.17816/kazmj64511.
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At the end of 1967, by order of the rector of the Kazan State Medical Institute, the Department of Traumatology, Orthopedics and Military Field Surgery was organized. Until that time, the teaching of individual sections of these subjects was carried out at various departments of the surgical profile. The creation of the department was due to the constant increase in the number of injuries and a significant increase in the nature of injuries, especially multiple and combined.
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Chursin, Vyacheslav A., O. O. Sarukhanyan, N. V. Teleshov, and I. V. Batunina. "COMPLICATIONS AFTER SURGICAL TREATMENT OF VAGINAL PROCESS PATHOLOGY IN CHILDREN." Russian Journal of Pediatric Surgery 23, no. 2 (July 9, 2019): 95–98. http://dx.doi.org/10.18821/1560-9510-2019-23-2-95-98.
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Introduction. Despite the modern development of surgery complications and relapses after the surgical treatment of children with a pathology of the vaginal process of the peritoneum continue to occur in the practice of the pediatric surgeon. The aim is to determine the causes of complications and relapses after the surgical treatment of children with the pathology of obliteration of the vaginal process of the peritoneum. Material and methods. The article presents the results of surgical treatment of 1818 children with the pathology of the vaginal process of the peritoneum, including 32 children with complications and relapses occurred after surgical interventions. Two clinical observations of children of 10 and 14 years were operated on for recurrence of an inguinal hernia and hydrocele are described. Results. The frequency of relapses or complications in the Research Institute of Emergency Pediatric Surgery and Traumatology after surgical treatment of children with inguinal hernias, hydrocele and cryptorchidism ranged from 1.5% to 2.3%. Conclusions. Non-adherence to surgical treatment causes recurrences and complications.
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Milenkovic, Sasa, Milan Mitkovic, Dragoslav Basic, Stojanka Arsic, Jovan Hadzi-Djokic, and Milorad Mitkovic. "Urinary tract in jury associated with pelvic fractures." Acta chirurgica Iugoslavica 61, no. 1 (2014): 9–15. http://dx.doi.org/10.2298/aci1401009m.
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INTRODUCTION: Pelvic trauma associated with urinary tract injury is a severe trauma, mostly caused by traffic accidents and falls from heights. These injuries require urgent treatment and close teamwork between urologic and orthopaedic surgeons. MATERIAL AND METHODS: In this retrospective study there were analyzed patients with pelvic trauma and extraperitoneal injury of urinary tract, treated surgically at Clinic for Ortopaedic Surgery and Traumatology and Urology Clinic in Clinical Center Nis. Surgical intervention in these patients had been realized as the synchronized work of both orthopaedic and urologic surgeons. The pelvis was treated by external and internal fixation. Mitkovic type external fixator was used for pelvic external fixation. Plating was used for pelvic internal fixation. Pelvic fractures were classified using Tile?s classification system. The final functional results had been scored using Majeed score system. RESULTS: There were 42 patients with the injury of pelvic ring, treated at Clinic for Ortopaedic Surgery and Traumatology and at Urology Clinic, Clinical Center Nis, in the period of 01.01.2011. to 31.12.2013, 30 males and 12 females, with average age of 53.69 (19-84) years old. In 80% of cases pelvic fractures were caused by high energy trauma in traffic accidents. According to Tile?s classification, 9 patients (21,42%) had pelvic fracture type A, 23 patients (54,46%) had pelvic fracture type B and 10 patients (23,80%) had pelvic fracture type C. Urinary tract in- jury was diagnosed in 9 patients (21,42%): 5 patients (11,9%) with bladder injury, 3 patients (7,14%) with posterior urethra injury and 1 patient (2,38%) with both bladder and posterior urethra injury. CONCLUSION: Urgent repair of extraperitoneal urinary tract injury by urologic surgeons and synchronized pelvic reduction and fixation using external or internal fixation by ortopaedic surgeon, in the same surgical procedure, is the standard method for treatment of this severe injury.
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Dremina, N. N., I. S. Trukhan, and I. A. Shurygina. "Cellular Technologies in Traumatology: From Cells to Tissue Engineering." Acta Biomedica Scientifica 6, no. 2 (June 24, 2021): 166–75. http://dx.doi.org/10.29413/abs.2021-6.2.19.
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Injuries and degenerative changes of tendons are common damages of the musculoskeletal system. Due to its hypovascular character the tendon has a limited natural ability to recover. For typical surgical treatment, the tendon integrity is restored, but in most cases, there occurs formation of the connective tissue scar resulting in structural and mechanical functionality disruption. The insufficient effectiveness of traditional therapy methods requires the search for alternative ways to restore damaged tendon tissues. This article discusses new effective methods for improving the treatment that base on the use of cellular technologies among which one of the main directions is mesenchymal stem cell application. Due to mesenchymal stem cells, there is a shift from pro-fibrotic and pro-inflammatory reactions of cells to pro-regenerative ones. Stem cells being multipotent and having among other things tenogenic potential are considered a promising material for repairing damaged tendons. The article also describes the sources of progenitor tendon cells including the tendon bundles and pericytes the main markers of which are Scx and Mkx that are proteins of the transcription factor superfamily, and Tnmd that is transmembrane glycoprotein.The growth factors that not only enhance the proliferative activity of mesenchymal stem cells but also promote in vitro tenogenic genes expression as well as the collagen Itype production what is necessary for tendon formation are considered. Along with growth factors, the morphogenetic protein BMP14 is presented, this protein increases themesenchymal stem cell proliferation and contributes directed tenogenic differentiation of these cells, suppressing their adipogenic and chondrogenic potentials.In recent years, mesenchymal stem cells have been used both separately and in combination with various growth factors and different three-dimensional structures providing the interaction with all of the cell types.The issues of the latest 3D-bioprinting technology allowing to make tissue-like structures for replacement damaged tissues and organs are discussed. 3D-bioprinting technology is known to allow acting exact spatio-temporal control of the distribution of cells, growth factors, small molecules, drugs and biologically active substances.
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Ninkovic, Srdjan, Marko Simnjanovski, Vladimir Harhaji, Nemanja Kovacev, Natasa Janjic, and Mirko Obradovic. "Surgical treatment of shoulder rotator cuff injuries." Medical review 67, no. 7-8 (2014): 239–45. http://dx.doi.org/10.2298/mpns1408239n.
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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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Sevda Uzun Dirvar, Ferdi Dirvar, Hasim Capar*, Yusuf Baktir. "An Analysis of Orthopedic Surgical Services Provided to Syrian Refugees in a Health Center Away from the Syria District." Innovative Journal of Medical and Health Science 10, no. 06 (June 6, 2020): 940–43. http://dx.doi.org/10.15520/ijmhs.v10i06.2970.
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Background: The Arab Spring, a wave of demonstrations and protests that hadtaken place in the Arab world since December 18, 2010, had also affected Syria. Thenumber of Syrian refugees who have migrated to Turkey is over 3.5 million.Objective: The aim of this study was to evaluate the demography, clinical featuresand invoice amounts of Syrian refugee patients who were operated in an orthopedicand traumatology clinic of a healthcare institution far from the Syria district region.Materials and Methods: For this purpose, 329 Syrian patients who underwentsurgery in the field of orthopedics and Traumatology between June 2011 and 2018were enrolled in the study. The records of Syrian refugees have been retrospectivelyexamined.Results: Male applicants (76.3%) were more than females (23.7%).%). It was observedthat the highest number of applications were in the field of microsurgery (21.3%),followed by trauma (20.7%) and pediatric orthopedics (14.6%), respectively. Includingthe non-emergency trauma patients, 90% of the patients underwent elective surgerieswhile 10% underwent emergency surgeries. It was determined that the average invoiceamount was 4987 TL (min: 207 TL, max: 87541 TL) and the highest cost was in thefield of vertebral surgery (average 19384 TL). The rate of emergency applications hasshown a significant increase in 2016 and later (2016-2017-2018) compared to 2015 andbefore .Conclusion : The main Syrian refugees patient profile of the health centers far fromthe war zone is composed of elective cases and their costs.Key words: Health Services Accessibility–Hospital Costs–Orthopedic Procedures–Refugees–Syria
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Zagorodniy, N. V., V. I. Nuzhdin, S. V. Kagramanov, Yu G. Khoranov, O. A. Kudinov, D. B. Ayusheev, F. A. Kuz'min, et al. "Twenty Years Experience in Large Joints Arthroplasty at specialized department of CITO named after N.N. Priorov." N.N. Priorov Journal of Traumatology and Orthopedics 18, no. 2 (June 15, 2011): 52–58. http://dx.doi.org/10.17816/vto201118252-58.
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Experience in hip and knee arthroplasty (primary and revision) accumulated at CITO department for large joints arthroplasty during the period from 1990 to 2010 is presented. Dynamic of the development of that direction in traumatology and orthopaedics, i.e. perfection of implants and surgical technique, is shown. Typical difficulties and complications in primary and revision operations are noted. Elaborated at the department technique for acetabulum reconstruction at revision hip arthroplasty in patients with significant deficit of bone mass and disturbance of mechanical bone strength is described.
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Schmedding, Andrea, Piotr Czauderna, and Udo Rolle. "European Pediatric Surgical Training." European Journal of Pediatric Surgery 27, no. 03 (May 11, 2017): 245–50. http://dx.doi.org/10.1055/s-0037-1603102.
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Introduction Pediatric surgery is essential for the surgical treatment of children in Europe and is generally a well-accepted specialty in Europe. There are still limited data on the training conditions within the European national associations of pediatric surgery. Materials and Methods A questionnaire designed by the executive committee of UEMS Section of Pediatric Surgery was distributed among all ordinary and associated UEMS members, which have national pediatric surgical associations, and to Russia. These questionnaires were completed by colleagues of the national associations and returned to the authors. Results In this study, 29 out of 37 (78%) national associations of pediatric surgery answered the questionnaire. In 90% of these countries, pediatric surgery is a distinct specialty. Training usually starts with a common surgical trunk (75%) of 1 to 2 years; the whole training lasts ∼6 years. Nonsurgical parts of the training, such as pediatrics, are part of the training program in 54% of countries. The content of the training comprises general pediatric surgery and newborn surgery in all countries, pediatric surgical oncology and pediatric urology in most countries, and pediatric traumatology and pediatric neurosurgery only in some countries. More than 90% of countries use a training logbook, and 79% require a final examination. The European Board of Pediatric Surgery exam is recognized only in 54% of the countries. Conclusion This study reveals that a uniform training schedule in pediatric surgery throughout Europe has not been achieved. This situation mandates urgent attempt to harmonize both training curricula and final exams at European level.
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Castro-Merán, Angie Patricia, Gustavo Moreno Braga, Eduardo Stedile Fiamoncini, Bruno Gomes Duarte, Osny Ferreira Júnior, and Eduardo Sanches Gonçales. "Systemic Alterations in patients submitted to exodontics at the Bauru School of Dentistry (USP)." Research, Society and Development 10, no. 3 (March 4, 2021): e4810312781. http://dx.doi.org/10.33448/rsd-v10i3.12781.
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Objective: To verify the rate of systemic changes observed in individuals seen at the Oral and Maxillofacial Surgery and Traumatology clinics of the Undergraduate Dentistry course at the Faculty of Dentistry of Bauru (FOB-USP). Methodology: a retrospective study of the medical records of individuals seen at the Oral and Maxillofacial Surgery and Traumatology clinics of the third and fourth years of the Dentistry course at FOB-USP, from January 1, 2015, to June 30, 2017. Data collection was performed based on information from the anamnesis obtained during the initial care of the patients and recorded in the medical records. The selected data were name, age, address, diagnosed systemic disease, current and/or past medical treatments, proposed surgical treatment, and, if there was, patient return after medical treatment for surgery. The medical records of individuals under the age of 18, patients who did not have any systemic changes, or those with systemic changes observed outside the initial care period were excluded. RESULTS: The sample consisted of 266 medical records and 119 of these were from individuals who had systemic changes (44.7%), with systemic arterial hypertension being the most common (33.1%), followed by diabetes mellitus (17.8%). Conclusion: the high prevalence of individuals with systemic alterations and who require dental surgical intervention was proven, which implies the need for a correct anamnesis and preoperative evaluation so that these cases are managed to avoid trans and/or post-operative, systemic, and/or local.
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Yarikov, Anton V., Roman O. Gorbatov, Anton A. Denisov, Igor I. Smirnov, Alexandr P. Fraerman, Andrey G. Sosnin, Olga A. Perlmutter, and Alexandr A. Kalinkin. "Application of additive 3D printing technologies in neurosurgery, vertebrology and traumatology and orthopedics." Journal of Clinical Practice 12, no. 1 (May 7, 2021): 90–104. http://dx.doi.org/10.17816/clinpract64944.
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Additive technologies are now widely used in various fields of clinical medicine. In particular, 3D printing is widely used in neurosurgery, vertebrology and traumatology-orthopedics. The article describes in detail the basic principles of medical 3D printing. The modern classification of 3D printers is presented based on the following principles of printing: FDM, SLA, SLS and others. The main advantages and disadvantages of the above-mentioned 3D printers and the areas of clinical medicine in which they are used are described. Further in the review, the authors discuss the experience with 3D printing applications, based on the data of the modern scientific literature. A special attention is paid to the use of 3D printing in the manufacture of individual implants for cranioplasty. 3D printing technologies in reconstructive neurosurgery make it possible to create high-precision implants, reduce the time of surgical intervention and improve the aesthetic effect of the operation. The article also presents the data of the modern literature on the use of 3D printing in vertebrology, where a special role is given to the use of guides for the installation of transpedicular screws and the use of individual lordosing cages. The use of individual guides, especially for severe spinal deformities, reduces the risk of metal structure malposition and the duration of surgical intervention. This technique is also widely used in traumatology and orthopedics, where individual implants made of titanium, a bone-substituting material, are created using 3D printing, thanks to which it is possible to replace bone defects of any shape, complexity and size and create hybrid exoprostheses. The role of 3D modeling and 3D printing in the training of medical personnel at the present stage is described. In conclusion, the authors present their experience of using 3D modeling and 3D printing in reconstructive neurosurgery and vertebrology.
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Ayres de Melo, Ricardo Eugenio Varela, Marcela Côrte Real Fernandes, Rodrigo Henrique Mello Varela Ayres de Melo, Milena Mello Varela Ayres de Melo Pinheiro, Victor Leonardo Mello Varela Ayres de Melo, and Camilla Siqueira De Aguiar. "Surgical resection of pleomorphic adenoma." Revista Odonto Ciência 33, no. 1 (December 30, 2018): 107. http://dx.doi.org/10.15448/1980-6523.2018.1.29681.
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OBJECTIVE: The Pleomorphic Adenoma is the most common among benign neoplasm derived from salivary glands and it might suggest malignancy when there is some sort of fast growth, pain, facial nerve involvement and cervical adenopathy. Its onset occurs between 40 and 60 years old and prevails on the female gender. Salivary glands tumor diagnosis depends on a precise pathological diagnosis as well as non-invasive examinations, which include ultrasonography, sialography, computed tomography and magnetic resonance imaging. The most recommended surgical treatment is the complete lesion excision, indispensable to avoid possible recurrence. Depending on the lesion situs, size, depth, and volume, the surgical technique choice for the pleomorphic adenoma may vary. The adenoma keeps developing if it is not completely removed. CASE DESCRIPTION: The present paper aims to describe a clinical case of a female melanodermic patient, aged 29 years old, who attended the MaxilloFacial Surgery and Traumatology Service of Federal University of Pernambuco complaining of an increased volume in the left submandibular region. The clinical examination revealed a well-delimited lesion in the left parotid area, presenting with a firm and painless consistency. The required ultrasonography image confirmed the initial diagnosis and the patient was referred to the surgical facility in order to undertake tumor resection with partial parotidectomy under general anesthesia.CONCLUSION: The present study concludes that pleomorphic adenoma is a benign tumor with diverse characteristics and surgical technique choice depends on the lesion depth, as well as its extension and relation with the facial nerve.
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Konik, Michał, Jacek Lorkowski, Ireneusz Kotela, and Michał Wychowański. "Biomechanical evaluation of patients after severe treatment of Achilles tendon Injuries using MIS procedure." Chirurgia Narządów Ruchu i Ortopedia Polska 85, no. 5-6 (December 31, 2020): 103–8. http://dx.doi.org/10.31139/chnriop.2020.85.5-6.3.
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Introduction. Achilles tendon is the strongest tendon in the human body. In 1977 Ma and Griffith described the technique of percutaneous anaplasty of the damaged Achilles tendon as a compromise between surgical and conservative treatment. Choosing an operating method that gives “better” treatment results can facilitate the choice of a more effective treatment. Aim. The aim of the study was to evaluate the biomechanics of surgical treatment of patients with Achilles tendon injury using minimally invasive method. Material and Methods. The study material included 31 patients treated surgically for Achilles tendon injury in the Department of Orthopedics and Traumatology of CSK MSW in Warsaw in years 2011-2016. The research group consisted of 27 men and 4 women. Their average age was 40 years. The following research tools were used to evaluate the treatment results: 1. Measuring instrument for maximum force moments in ankle joint JBA “Staniek” 2. HUR stabilographic platform Conclusions. 1 Patients presented a similar balance control on the stabilographic platform in research groups. 2. Higher values of maximum force moments in ankle joint were recorded in healthy limb.
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Badreddine, Dehayni. "Bilateral Anterior Fracture - Dislocation of Shoulder Following Electrocution: About a Rare Case and Review of the Literature." Journal of Orthopaedics & Bone Disorders 3, no. 1 (2019): 1–3. http://dx.doi.org/10.23880/jobd-16000173.
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Bilateral anterior dislocation of the shoulders associated with a bilateral fracture of the greater tuberosity is an extremel y rare lesion. We reported a case of bilateral dislocation of the shoulder following an electrocution received and operated on in t he Traumatology Orthopaedics I department of the Mohamed V Military Training Hospital in Rabat. The diagnosis was clinical as confirmed by radiological investigations; the patient received surgical treatment after failure of orthopaedic treatment, a bloody reduction in dislocation and osteosynthesis of the greater tuberosity of both shoulders. An evolution was marked by a satisfactory functional recovery of both shoulders. Even clinical examination can help to suspect dislocation, but x - rays are mandatory f or an accurate and early diagnosis. Surgery is recommended for unreduced dislocations or displaced fractures; orthopaedic treatment is indicated in non - displaced fractures subsequent functional rehabilitation allows results after surgical and non - surgical treatment.
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Fil, A. S., V. N. Tarakanov, T. A. Kulyaba, and N. N. Kornilov. "Primary knee joint arthroplasty trends at the Vreden National Medical Research Centre for Traumatology and Orthopedics compared with other national joint replacement registries. Is our way similar?" Genij Ortopedii 26, no. 4 (December 2020): 476–83. http://dx.doi.org/10.18019/1028-4427-2020-26-4-476-483.
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Introduction Total joint replacement is one of the most effective and successful surgical interventions. Regular monitoring of these surgical interventions is essential and may serve as a system for early detection of defective prosthesis designs or techniques resulting in the complication rate which exceeds the estimated level. The ideal way to conduct this monitoring is a registry of joint replacements. Purpose Assessment of the structure of primary knee joint arthroplasty at the Federal State Budgetary Institution Vreden National Medical Research Centre for Traumatology and Orthopaedics named and it’s comparative analysis with the data from leading foreign registers to improve the work of orthopaedic surgeons, traumatologists and healthcare organizers by optimizing the surgical tactics in the specialized treatment of patients. Methods The authors reviewed the annual reports published by national registers of knee replacements and compared them with the data of the registry of the Vreden National Medical Research Centre for Traumatology and Orthopaedics to make conclusions that would be relevant to current orthopaedic practice. Results Several results of the survey demonstrate the most significant or unexpected conclusions as according to the registry. These include an extremely large gender imbalance and obesity as two thirds of the patients were overweight. The number of patients with tumors and rheumatological diseases in the structure of knee replacements decreased considerably in the recent years. Designs and types of implants used, patellar resurfacing in arthroplasty, time of surgical intervention and options for postoperative administrations of antibiotics at the Vreden Centre are consistent with general European trends in knee arthroplasty. Conclusions The number of primary knee replacements (including unicompartment replacements) has been increasing annually. The patients admitted for primary knee replacement are statistically very similar to patient population from other countries. The main differences are associated with an earlier age at which arthroplasty is performed, an extreme gender imbalance and a relatively low number of patellar resurfacing in primary knee replacement. The problem of overweight among the population leads to an increased number of knee replacements, complications and lower implant survival rate.
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Osmanovic, Elvedin, Mensura Aščerić, and Esed Omerkic. "Implementation of the hemoprophylactic protocol in orthopedic surgery." Journal of Health Sciences 1, no. 3 (December 15, 2011): 171–74. http://dx.doi.org/10.17532/jhsci.2011.133.
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Introduction: Antibiotic prophylaxis is defined as the use of antimicrobials in the absence of symptoms of infection, with the aim of preventing or reducing the incidence of infection after surgery. We analyzed the incidence of surgical wound infection in patients in whom a protection of hemoprophylaxis conducted using cefazolin and gentamicin, and determine the frequency of surgical wound infection in patients in whom there was a deviation in the implementation of hemoprophylaxis protection.Methods: This retrospective-prospective study included 100 patients surgically treated at the The Department of Orthopedics and Traumatology, University Clinical Center in Tuzla from December 2007 to February 2010, which examined the incidence of surgical wound infection after surgical treatment of fractures or degenerative changes in the hip, thigh and lower leg fractures.Results: In the first group, in patients who were treated with cefazolin were detected in 2 cases (5.7%) while the length of hemoprophylaxis was 7 days, patients who were treated with cefazolin and gentamicin were detected in 1 case (2.8%) and duration hemoprophylaxis was 7 days. In another control group tah was found 9 cases of wound infection (30%), and hemoprophylaxis duration was 10 days.Conclusion: The combination of cefazolin and gentamycin for a period of 5 days significantly reduces the incidence of infection and significantly shortened the time of antibiotics in group that is respected application protocol in accordance with international recommendation.
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Popescu, D., R. Nedelcu, Şt Trifu, and C. Cîrstoiu. "Surgical Options in Periprosthetic Fractures." Romanian Journal of Orthopaedic Surgery and Traumatology 1, Supplement (June 1, 2018): 21. http://dx.doi.org/10.2478/rojost-2018-0032.
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Abstract Purpose. The periprosthetic fractures are a more and more often encountered type of pathology, in which the main problem is the indication for surgery. The most important thing is the choice of the best therapeutic option in order to get a solid fixation of the fracture and, in the end, to allow an early patient’s mobilization. Materials and method. 38 cases of periprosthetic fractures have been treated in the Orthopedics and Traumatology Department of University Emergency Hospital in Bucharest, between 2010 and 2016. International Vancouver classification was used for all cases. The osteosynthesis saving the femoral stem was preferred in 22 cases, as its stability was not affected. Stem revision was performed in 16 cases, as this was unstable due to the fracture. Acetabular component was also revised in 4 cases, as the PE insert presented severe wear. The patients were aged 52 to 84 years old and sex ratio M/ F = 13/ 25. Osteosynthesis was performed using Dall-Miles plates and molded plates, with braided cables or wire cerclage. Long stems, uncemented with or without distal locking, were used in 16 cases. Results. Postoperatively, the bone repair was efficient regarding the stability in most of the cases. The patients’ mobilization was early in most of the cases, except for the very old patients with associated comorbidities and limited biological resources. Conclusions. An appropriate surgical indication, adapted on each type of peri-implant fracture, leads to a good result, with early mobilization and the best consolidation of the fracture.