Introduction: Usually ipsilateral fractures of the femur and tibia are not compatible with good results and require surgery. The unsatisfactory results are more likely due to complex patterns of fractures, compromised soft tissue, associated ligament injuries, and concomitant vital organ injuries. There are many classifications to describe this type of fracture but none of them is a prognostic classification.
View Article and Find Full Text PDFBackground: Distal third femoral shaft fractures are characterized by increasing incidence and complexity and are still considered a challenging problem (high morbidity and mortality). No consensus on best surgical option has been achieved. This study aims to investigate radiographic, mineral bone densitometry and clinical outcomes of locking retrograde intramedullary (LRN) nailing, non-locking retrograde intramedullary nailing and anatomical locking plate to surgically treat distal third femoral shaft fractures in young adults.
View Article and Find Full Text PDFAim The septic non-union is a common compliance in bone healing due to bone infection. Bone resection, associated with Ilizarov osteo-distraction technique, is commonly used in these cases. The aim of this study was to analyse clinical and radiological results of teriparatide in combination with the Ilizarov technique and to compare this treatment with the standard treatment.
View Article and Find Full Text PDFAim Reporting on an atypical case of a three-year-old patient affected by osteomyelitis of the distal radius, completely healed without antibiotic therapy. Methods The clinical case is related to a three-year-old patient, whose clinical picture began with fever, pain and swelling of the right wrist. After three days, fever and swelling disappeared, but pain persisted.
View Article and Find Full Text PDFAim To demonstrate validity of a bio-metallic solution in bone healing combined with the quadriceps safe approach in the treatment of nonunions of distal femur while malunions were treated by metallic solution. Methods We treated 57 patients with nonunion or malunion of distal femur at the Orthopaedics and Traumatology Department of a single orthopaedic trauma centre (Italy). A total of 57 patients were divided in two groups: the first (NU) group was composed of 35 patients affected; the second group (MU) was composed of 22 patients affected by malunion of distal femur.
View Article and Find Full Text PDFIntroduction: Floating knee is a flail knee joint resulting from fractures of the shafts or adjacent metaphyses of the femur and the ipsilateral tibia. It is usually associated with several complications and mortality. This study was designed to present our experience with the treatment of this injury.
View Article and Find Full Text PDFAim To calculate stress and deformation under the force of pressure and bending in the dynamic compression plate (DCP), locking compression plate (LCP), selfdynamisable internal fixator (SIF) and locked intramedullary nail (LIN) in the models of juvidur, beef tibia bone (cadaver) and software of bone model simulator. Methods Juvidur and bone models were used for the experimental study, static tests were performed with SHIMADZU AGS-X tester. CATIA software was used to create a 3D model for the SCA simulator, while software ANSYS to calculate the tension and deformation for compressive and bending forces.
View Article and Find Full Text PDFThe Publisher regrets that this article is an accidental duplication of an article that has already been published in Injury, 50(2) (2019) 453–461, https://doi.org/https://doi.org/10.
View Article and Find Full Text PDFOrthopedic implants have become essential components of modern medicine. The risk of infection of total hip arthroplasty (THA) is 1.5%-2%.
View Article and Find Full Text PDFIntroduction: Hospital-acquired infections (HAI) and surgical site infections (SSI) are a global public health problem. The aim of the study was to determine the incidence of SSIs at the Surgical Clinics of the University Clinical Centre Banja Luka and to identify risk factors for the development of SSIs.
Methods: In order to determine the frequency of SSIs through the incidence compared to the patients operated at the Surgical Clinics of the University Clinical Centre Banja Luka, we conducted a prospective cohort study which encompassed 11.
Introduction: Artificial models can be useful at approximate and qualitative research, which should give the preliminary results. Artificial models are usually made of photo-elastic plastic e.g.
View Article and Find Full Text PDFIntroduction: Results of the treatment of open fractures primarily depend on the treatment of connected soft tissue injuries.
Objective: The aim was to present the experience and methods gained during the treatment of diaphyseal bone defects as a consequence of gunshot fracture soft war trauma.
Patients And Methods: The study consisted of 116 patients with the diaphyseal bone defect who were treated with the usage of primary and delayed autotransplantation of bones, transplants of the fibula and Ilizarov distraction osteogenesis.
Introduction: Acetabular fractures treatment represents a great controversy, challenge and dilemma for an orthopedic surgeon.
Aim: The aim of the paper was to present the results of treatment of 96 acetabular fractures in the Clinic of Traumatology Banja Luka, in the period from 2003 to 2013, as well as to raise awareness regarding the controversy in the methods of choice in treating acetabulum fractures.
Material And Methods: The series consists of 96 patients, 82 males and 14 females, average age 40.
Introduction: Epiphysiolysis of the femoral head is the most common accident occurring towards the end of pre-puberty and puberty growth.
Case Report: The author describes the experience in the treatment of chronic epiphysiolysis in two patients treated by Southwick osteotomy. The site is accessed by way of a 15-cm long lateral skin incision and the trochanteric region is reached through the layers.
Introduction: Obesity represents a significant risk factor in the pathophysiology of degenerative changes in coxarthrosis.
Objective: The study aims to investigate obesity as a risk factor in the examined sample comprising 136 patients who underwent hip endoprothesis implantation.
Material And Methods: The series comprised 136 patients with a hip endoprosthesis implanted, where the patients' BMI, amount of blood used, duration of surgery, number of assistants, and type of anaesthesia were observed.
The aim of this study is to describe the nature of war wounds with fracture caused by cluster bombs and to suggest treatment options for such injuries. The nature of wounds caused by cluster bombs differs from those caused by conventional arms (they are more severe). The sides of the wounds are represented by conquasated soft tissues (such as fat and muscle) with thick dead tissues, ordinarily with a thickness of 0.
View Article and Find Full Text PDFIntroduction: Tibial fractures accompanied by radius fractures at typical sites are the most common type of fractures.
Objective: The study is aimed at using the examined sample to make an efficient and economically acceptable choice in the treatment of tibial diaphyseal fractures.
Material And Methods: The series comprises a retrospective and prospective study of the treatment of 131 fresh tibial fractures: 31 in women (23.
Introduction: Knee injuries are common in athletes, recreationists, and other people in their everyday activities.
Objective: The study is aimed at establishing the validity of clinical findings, MRI and diagnostic arthroscopy of the knee in ACL, PCL, medial or lateral ligament lesions.
Methods: The prospective research involved 63 inpatients at the Traumatology Clinic in Banja Luka- Niš between 1 January 2011 and 1 June 2012.
Background/aim: Today there are controversies about searching for the ideal surgical method (conservatively with plaster cast, with open and percutaneous tenorrhaphy) for repairing a ruptured Achilles tendon. The aim of this study study was to examine the results of treating Achilles tendon ruptures in patients by using the following methods: percutaneous suturing, open surgery technique and non-surgical treatment by plaster cast immobilisation.
Methods: Forty two patients treated at our facility in the period August 2003 - September 2010 for Achilles tendon ruptures were included in the study.
Introduction: Developmental hip disorder (DHD) is a disorder in development of the acetabulum which remains abrupt (dysplasia) and probably consequential cranialisation of the femur head (luxation).
Aim Of The Paper: The aim of this paper is to establish the total number of DHD and its subtypes at the first clinical and ultrasound exam of newborns in a retrospective-prospective study made in the period from 1st Jan 2006 through to 31 Dec 2010 at the Clinic for orthopaedics and traumatology in Banja Luka.
Materials And Methods: In total 6132 patients were examined and 99 cases diagnosed with DHD (dysplasia and luxation).
Introduction: From all deceases and injuries of femur, most surgical, medical, social and economical difficulties and problems are created by deceases and fractures of femur neck.
Aim Of The Paper: Aims of this research lie in the value of surgical approach (Hueter, Mooro and Gibson's) when anchoring hip endoprosthesis. The following parameters were analyzed: Harris Hip Score before and after the surgery, the length of the surgical incision, duration of the surgery, the amount of transfusion used, post-surgery time of the first movement to the upright position and full weight bearing.
Srp Arh Celok Lek
August 2012
Introduction: Extra-focal or external fixation is the method of fracture fixation through the healthy part of the bone using pins or wires.
Objective: The aim was to determine which external splints (Ortofix, Mitković, Charnley and Ilizarov) had the best biomechanical properties in primary stabilization of spiral, transverse and commutative bone fractures.
Methods: To determine the investigation methodology of biomechanical characteristics of the external fixator we used mathematical and computer simulator (software), juvidur physical model and clinical examination.