Hasani, Ilir

Preferred name

Hasani, Ilir

Official Name

Hasani, Ilir

Main Affiliation

ilirku@yahoo.com

Now showing 1 - 10 of 16

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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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The Ilioinguinal Approach versus the Anterior Intrapelvic Approach to the Acetabulum: A Review
(Scientific Foundation SPIROSKI, 2013-12-15)
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Kaftandziev, Igor
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Nikolov, Ljupco
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<jats:p>The ilioinguinal approach (IIA) to the acetabulum has been used as a golden standard for fifty years to treat â€œanteriorâ€ acetabular fractures. Since its introduction by Hirvensalo and Cole, the anterior intrapelvic approach (AIPA) has been adopted by some surgeons, whilst others remain devoted to the IIA. IIA is routinely used in the Republic of Macedonia. The aim of this study is to present a review of literature for two different anterior approaches for the treatment of acetabular fractures used in modern day surgery, focussing on AIPA and its priorities and comparing it to IIA.We performed a search, mainly electronically, and retrospective analysis of existing literature. We have identified and selected two representative and well-systematized papers for IIA, and six for AIPA. We presented the advantages and disadvantages, priorities and weaknesses of both approaches separately, comparing complications, risks and results. Based on the facts presented regarding the advantages of AIPA with a focus on visualization, accessibility and biomechanical justification, the approach should be implemented in our everyday practice and we are comfortable in stating this preference, especially due to the fact that upon comparison of the complication rate there is no significant difference between the two approaches.</jats:p>
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A minimally invasive approach to treating distal tibia fractures-Case study
(Македонско друштво на ортопеди и трауматолози = Macedonian Association of Orhopedics and Traumatology, 2017)
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Arsovski O
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Comparative analysis of clinical and arthroscopic findings in ACL injury of the knee
(2014-01)
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Background: This study was conducted to compare accuracy of MRI findings taking arthroscopy as standard in knee injuries. Methods: All patients attending our hospital with knee injury underwent clinical examination. Out of them 100 patients with knee injury were subjected to clinical examination, MRI and then Arthroscopy. The results were compared and analyzed using various statistical tests. The accuracy, sensitivity and specificity were calculated based on these arthroscopic and MRI findings. Results: The accuracy of clinical diagnosis in our study was 88% for ACL tears and 85% for meniscal tears. Our study proved high sensitivity and specificity and almost high accuracy for ACL injuries of knee joint in comparison to arthroscopy. MRI is an excellent screening tool for therapeutic arthroscopy. We can avoid diagnostic arthroscopy in patients with knee injuries having equivocal clinical and MRI examination and go on for therapeutic modality. Conclusions: For the assessment of ligamentous and meniscal injuries magnetic resonance imaging (MRI) is accurate and noninvasive modality. It can be used as a first line investigation but arthroscopy still remains gold standard in diagnosing ACL and meniscal injuries.
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Sacrectomy with ilio-lumbar stabilization due to low-grade chondrosarcoma of sacrum and iliac wing. Case report of the first surgery performed in the Republic of North Macedonia.
(Македонска академија на науките и уметностите, Одделение за медицински науки = Macedonian Academy of Sciences and Arts, Section of Medical Sciences, 2021)
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Popovska, D
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Todorova, T
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Rushiti, Q
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Low - grade chondrosarcomas are primary malignant bone tumors that are resistant to chemo- and radiotherapy and are treated surgically. Sacral localization makes surgical resection technically difficult due to position, anatomic structures involved, and large tumor size at detection. The risk of complications is high. We present the introduction of a novel surgical technique in our country, sacrectomy with ilio-lumbar stabilization. This was performed on a 67-year-old man with low-grade chondrosarcoma of the sacrum with sacroiliac joint involvement. The procedure was performed via an antero-posterior approach in two stages. Ilio-lumbar fixation with a mesh cage bridge was used to obtain spinopelvic continuity and stability. Sacrectomy is a technically demanding procedure that requires careful preoperative planning and a multidisciplinary approach, as well as high level of surgical experience.
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Internal Fixation vs. Total Hip Endoprothesis
(2018)
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Trajanovski A
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Todorova T
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Dalipi R
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The effect of proper timing of hip fracture surgery in geriatric patients in first 24 hours after injury
(2018)
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Nikolov Lj
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Surgical treatment of proximal femoral fractures
(2018)
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Dalipi R
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Todorova T
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Trajanovski A
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Most common postoperative complications in the femoral neck fractures in young population
(Medical faculty, Ss Cyril and Methodius University in Skopje, 2020-12)
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Trajanovski A
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Gavrilovski A
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Revision rate following surgery for lumbar spinal stenosis
(2018-04)
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Nikolov, Ljupco
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Arsovski, Oliver
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Hasani, Ilir

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