Faculty of Medicine
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Item type:Publication, THE EFFECT OF WIDE SWADDLING ON ALPHA HIP ANGLE IN NEWBORNS AND INFANTS(Институт за јавно здравје на Република Македонија = Institute of public health of Republic of Macedonia, 2025-05); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, THE EFFICACY OF TRANEXAMIC ACID IN REDUCING PERIOPERATIVE BLOOD LOSS IN TOTAL HIP ARTHROPLASTY(Македонско лекарско друштво = Macedonian medical association/De Gruyter, 2025-04); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, EVALUATION OF TOTAL BLOOD LOSS AFTER ADMINISTRATION OF TRANEXAIMC ACID IN TOTAL HIP ARTHROPLASTY(MIT University Skopje, 2025-03); ; ; ; Total arthroplasty is one of the most frequent procedures in orthopedic surgery, proven to be an effective treatment that significantly improves patients' quality of life. However, it is associated with considerable perioperative blood loss which can lead to suboptimal outcomes and systemic complications. The aim of this study is to assess the total blood loss after the application of tranexamic acid in patients undergoing total hip arthroplasty surgery. A total of 64 patients were included, divided into two groups: a test group where tranexamic acid was administered intravenously and a control group where tranexamic acid was not used. The values for total blood loss and erythrocyte volume loss were statistically significantly lower in the test group. Blood loss in the control group was higher by an average of 482.19 ml. Erythrocyte loss in the control group was higher by an average of 256.28 ml. The use of tranexamic acid as a standard protocol in total hip arthroplasty is a safe and effective method to reduce total blood loss. Ultimately, this results in a reduced need for blood transfusion, a decrease in potential risks and complications associated with it, and the achievement of pharmacoeconomic benefits. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, THE IMPORTANCE OF FOLLOWING THE ORIGINAL PONSETI METHOD IN TREATMENT OF CLUBFOOT: THE IOWA EXPERIENCE(Македонско друштво на ортопеди и трауматолози = Macedonian Association of Orthopedics and Traumatology, 2022); ; ; Dr. Ignacio Vives Ponseti, an American orthopaedic surgeon with Spanish origin, was born on June the 3rd, 1914 and died at the age 95 in Iowa, USA, on October 18th 2009. He was a brilliant pediatric orhopaedic surgeon, best known for his method of nonoperative treatment of clubfoot, that has become a gold standard of clubfoot treatment. His iconic paper on clubfoot management (1963) is one of the few manuscripts in orthopaedic literature which has radically changed the practice as we know it now. The Ponseti method is easy to learn but, unfortunately easy to modify because modification negatively affects the treatment outcome. That emphasizes the need to learn and follow the exact steps explained by Dr. Ponseti. The first author of this article had the opportunity to learn this method in the place where it all started, guided by Dr. Jose Morcuende, the successor of Dr. Ponseti who continues his legacy in the brightest way possible. After return from the stay at Iowa Stead Family Children’s Hospital 16 patients and 23 feet were treated with best possible adherence to the Ponseti Method. We began using the original Ponseti method in October 2019. Since then, 16 patients, 7 bilateral, 9 unilateral (23 feet in total) have been treated and evaluated. We strove as much as possible to reproduce Ponseti’s strict casting protocol faithfully, as explained in the paper. Usually, for correction of the first three components 4 to 10 casts are necessary, changed on a weekly basis. Equinus is the last deformity to be corrected. In order to avoid prolonged casting and concomitant appearance of rocker bottom deformity, the correction of equinus is facilitated by a simple operative procedure in local anesthesia. Sixty five percent of the patients had good results, 31% had acceptable results, in one patient there was poor result. Compared to the original Ponseti paper from 1963, there is not any significant difference in the results, except the bigger percent of poor results that involves only one patient in our series. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, PSEUDOTUMOR FOLLOWING METALONPOLYETHYLENE TOTAL HIP ARTHROPLASTY A REPORT OF THREE CASES(Македонска асоцијација на ортопеди и трауматолози = Macedonian Association of Orthopedics and Traumatology, 2022-06); ; ; ; Introduction: One of the rare complications of the total hip arthroplasty are pseudotumors. They are defined as granulomatous or destructive cystic lesions with nonneoplastic and noninfective origin. Typically there is latent period of 2 to 15 years from the implantation of the endoprosthesis to the clinical manifestation of the lesion. Most common symptoms are pain, swelling and discomfort but also, loosening of the components of the endoprosthesis or compressive symptomatology can occur. Potential mechanisms of development of psudotumors are foreignbody reaction, hypersensitivity reaction and excessive wear debris reaction. Case reports: We report three cases of pseudotumors following metalonpolyethylene total hip arthroplasty. The first case is 76yearold women presented with pain and limited motion of the right hip, 18 years after the hip arthroplasty. The second case is 53yearold man presented with pain and swelling in the right trochanteric region, 21 years after the hip arthroplasty. The third case is 55yearold women presented with painless, large mass in the left proximal thigh, 13 years after the hip arthroplasty. All three patients were treated operatively with extirpation of the pseudotumor. Discussion: Patients with hip or groin pain, a mass, or a fluid collection following total hip arthroplasty should be carefully evaluated, especially for the presence of infection. Unfamiliarity with pseudotumors may lead clinicians and radiologists to misinterpret these masses as worrisome for malignancy. The management of pseudotumors is controversial since there is no clear consensus for optimal treatment or surveillance. Conclusion: The recognition of pseudotumor is very important considering the increasing number of surgical procedures and consequential postoperative complications. Pseudotumors are a rare but important complication occurring in hip replacement surgery using all different types of implants. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, ASSESSMENT OF PRE- AND POST-OPERATIVE VALUES OF ERYTHROCYTES, HEMOGLOBIN, HEMATOCRIT AND DRAINAGE VOLUME AFTER ADMINISTRATION OF TRANEXAMIC ACID IN TOTAL HIP ARTHROPLASTY(University Ss. Cyril and Methodius in Skopje, 2024); ; ; ;