Temelkovski, Zlatko
Preferred name
Temelkovski, Zlatko
Official Name
Temelkovski, Zlatko
Main Affiliation
Email
zlatko.temelkovski@medf.ukim.edu.mk
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Item type:Publication, Trochlear dysplasia - congenital anomaly or biomechanical development(National Library of Serbia, 2018); ; ; Introduction. The aim of this study was to investigate the appearance of the trochlear groove in infants and to present the possible causes for the development of trochlear dysplasia as one of the most severe pathologic findings in patients with patellar instability. Material and Methods. Knee ultrasonography was performed in 200 infants, 3 to 6 months of age. The measurements were made at 30 and 60 degrees of knee flexion, in order to measure the trochlear bone and cartilaginous sulcus angle on the patellar surface of the femur and to determine the degree of trochlear dysplasia. A 7-megahertz probe was used for measurements, which was tangentially placed with the reference to the posterior femoral joint. Results. A completely flat trochlear bony sulcus angle was registered in all infants aged 3 to 6 months. The mean cartilaginous sulcus angle was between 149 ? 5.4? and 19 infants had a sulcus angle over 159?. Eleven infants with trochlear dysplasia were in breech presentation at birth. Conclusion. Our study showed that the cartilaginous part of the trochlear groove was already well developed at birth. Breech presentation of the fetus could be a predisposing factor for dysplasia of the cartilaginous part of the trochlear groove. The bony part of the trochlear groove is dysplastic in infants and it gradually gets deeper, later getting a shape of the overlying articular cartilage. The influence of the Delpech law, with lower pressure in the trochlear groove, could be the possible mechanical theory explaining the development of the trochlear dysplasia in the later stage of the childhood. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, THE INFLUENCE OF NUTRITION ON MUSCLE WASTING IN CRITICALLY ILL PATIENTS – A PILOT STUDY(Association of Medical Doctors Sanamed, 2018-12-04); ; ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Импинџмент синдром: отворена предна акромиопластика - приказ на случај(Македонско друштво на ортопеди и трауматолози = Macedonian Association of Orthopedics and Traumatology, 2007); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, COMPRESSION FRACTURES OF LUMBAR VERTEBRAE IN NEGLECTED OSTEOPOROSIS PATIENT – CASE REPORT(2018); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The Influence of Anterior Cruciate Ligament Remnant on Postoperative Clinical Results in Patients with Remnant Preserving Anterior Cruciate Ligament Reconstruction(Scientific Foundation Spiroski (publications), 2017-08-15); ; ; ; BACKGROUND:Anterior Cruciate Ligament (ACL) remnants have important biomechanical, vascular and proprioceptive function.AIM:To determine the influence of the ACL residual remnants after partial and complete ACL ruptures on postoperative clinical results in patients with remnant preserving ACL reconstruction. PATIENTS AND METHODS:The studyincluded66 patients divided into two groups. In patients from the investigationgroupremnant preserving ACL reconstructionwas performed, in patients from the control group single bundle ACL reconstruction was performed. The results were assessed by Rolimeter measurements, Lysholm and Tegner scores and proprioception evaluation. RESULTS:The mean side-to-side difference of anterior tibia displacement(mm)was improved from 4.4± 1.06 to 0.4± 0.7in the investigation group, andfrom 4.6 ±0.68 to 1.9± 0.64 in the controlgroup (p < 0.001).Difference in the angles in which the knee was placed by the device and the patient has improved from 1.5 ± 0.96° to 0.5 ± 0.53° in theinvestigation group and from 1.8 ± 0.78° to 1.3 ± 0.97° in the control group (p <0.05). Tegner and Lysholm scores showed no difference between the groups.CONCLUSION:Preservation of the ACL residual bundle provides a better knee stability and proprioceptive function.IntroductionArthroscopic reconstruction of the anterior cruciate ligament (ACL) is one of the most commonly performed procedures in orthopedic surgery. Although there is an improvement in surgical techniques there is still graft failure rate of 3% to 12% of the cases [1]. The main factors which have influence on the results after ACL reconstructionscan be separated into two groups: biomechanical and biological [2]. According to the studies [3]in 50 % of the patients with ACL injury, arthroscopic examination carried out prior to ACL reconstruction reveals the presence of ACL residual remnants. In patients with complete ACL rupture these remnants have non anatomic femoral insertion on the intercondylar notch or posterior cruciate ligament (PCL). Sometimes a partial rupture of the anteromedial (AM) or posterolateral (PL) bundle of the ACL canbe observed. In their article [4]Kazusa et al. gave the most detailed classification of the ACL residual remnants. Recently, the importance of the ACL remnant has been recognized in terms of its biomechanical, vascular and proprioceptive functions. The ACL remnantsattached to the lateral wall of the intercondylar notchcontribute to anteroposterior knee - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Chondroblastoma of tibial plateau with lateral patelar facet reconstruction-A case report(Македонско друштво на ортопеди и трауматолози = Macedonian Association of Orhopedics and Traumatology, 2017); ; ; Atanasov N - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Initial results from comparative study of two radiological methods-magnetic resonance and PET CT in detection of hepatal metastasis(MIT University Skopje, 2022-03); ;