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Factors Affecting In-Hospital Mortality in Patients with Hip Fracture
(Albanian Society for Trauma and Emergency Surgery, 2022-01-20)
Popovska, Danica
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Dalipi, Rezeart
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Todorova, Teodora
Background. The prevalence of hip fractures is steadily increasing, as the population ages. These fractures are associated with significant morbidity and mortality. Most of these fractures are treated surgically. Factors related to surgical intervention can play a significant role in the outcome. This study examines the association of in-hospital mortality with the timing of surgery, sex, and age of patients treated surgically due to a hip fracture at Clinical Hospital Shtip in a 2-year long period. Material and Methods. A total of 348 patients admitted with a diagnosis of hip fracture who were treated surgically were identified. Data about sex and age were collected. The outcome was assessed for groups treated within 24, 48, 72, and more than 72 hours after admission. Descriptive statistical methods, chi-square test, t-test for independent samples, and odds - ratio with 95% confidence interval (CI) were used in statistical analysis. Results. The delay of surgical treatment beyond 24 hours did not increase the risk of death (OR=0.65, 95%CI=0.23-1.73). Delays beyond 48h and 72h increased the risk of death progressively (OR=1.17, 95%CI=0.50-2.75, and OR=1.65, 95%CI=0.69-3.95 respectively). Mortality was significantly higher in the 76-85-years age group. Conclusions. Association between surgical delay and in-hospital mortality in hip fracture patients is disputed. Confounding factors such as age, sex, comorbidities, and type of treatment determine the outcome. Patients with hip fractures, without any additional disease, should be operated on as soon as possible after admission to the hospital. Delay beyond 48 hours may increase the risk for in-hospital mortality.
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RARE TENDON SHEATH GIANT CELL TUMOR OF THE THUMB – CASE REPORT
(Македонско друштво на ортопеди и трауматолози = Macedonian Association of Orthopedics and Traumatology, 2022)
Karapandјevska, Simona
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Dalipi, Rezeart
Giant cell tumor of the tendon sheath is benign soft tissue tumor. The literature shows it affects people between age of 30 to 50 years with no gender predominance. Giant cell tumor is benign tumor which sometimes has potential to reappear. After radical surgical removal, according to the literature, 15%44% of the patients have recurrence of the tumor on the same location. This type of tumor is usually located on the fingers, and resembles the second most common benign tumor of the hand. In this report we present a surgically treated patient with giant cell tumor of the tendon sheath in the palmar part of the distal phalanx of the right thumb.
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PERCUTANEOUS AS A MINIMALLY INVASIVE TECHNIQUE FOR ACHILLES TENDON RUPTURE
(University Ss. Cyril and Methodius in Skopje, 2022)
Gjorgjieska, Kornelija
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Dalipi, Rezeart
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Trajanovski, Aleksandar
The Achilles tendon is the strongest tendon in the human body. When the applied force exceeds the tensile capacity of this tendon, which occurs when the ankle bends abruptly under the action of a compressive force, the tendon is at risk of rupture. The incidence of rupture ranges from 18 per 100,000. Certain antibiotics, long-term steroid use, tendinopathy, and other degenerative disorders are known to increase the risk of rupture, yet the leading cause remains traumatic injury, with predominance in men aged 30 to 50 years. There are two types of treatment: conservative and surgical. Recent studies have shown a difference in outcome between non-surgical and surgical treatment. Meta-analyses have shown that non-surgical treatment increases the risk of re-rupture, while open surgery has a risk of early complications and infection. It is necessary to find a solution to minimize the postoperative complications of open surgery, and possible relapses after the application of conservative treatment, treated with plaster immobilization. Therefore, there is a need for the use of minimally invasive surgery, which has been adopted as a smart way to reduce the rate of postoperative infections. It is also clear that the treatment must be tailored to the needs of each patient individually

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