Saveski, Aleksandar
Preferred name
Saveski, Aleksandar
Official Name
Saveski, Aleksandar
Main Affiliation
Email
aleksandar.saveski@medf.ukim.edu.mk
49 results
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Item type:Publication, Two surgical approaches in implantation of total hip endoprosthesis - a single center experience(Македонско лекарско друштво = Macedonian medical association, 2021); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, TALOCRURAL ARTHRODESIS USING THE METHOD OF ILIZAROV(Faculty of Physical Education, Sport and Health, Skopje, Republic of Macedonia, 2020); ; ; ; Background: Talocrural arthrodesis using the method of Ilizarov is a reasonable procedure for patients with secondary ankle degenerative changes and comorbidities, making other surgical treatment impossible. The aim of this study is to evaluate the results of talocrural arthrodesis as union rate, deviations, functional restoration and complications. Patients and Methods: The study has included 26 patients with Ilizarov talocrural compressive arthrodesis at the Clinic for Orthopaedic Surgery in Skopje from 2015 to 2019, of which 3 were with simultaneous gradual distraction. The follow up was from 22 to 64 months. The age varied from 41 to 77 years. All patients were with comorbidities and poor bone and soft tissue condition. The monitoring was performed using native radiography and ultrasonography at the compression/distraction site. Results: A complete bone fusion was achieved in all patients. The median time of wearing the external fixator was 22 weeks. In three cases with simultaneous distraction, the average bone healing index was 47 days/cm. The final maximal length discrepancy was 11 mm. In 16 patients (61.53%) sings of pin tract infections were detected. The mean number of pin site infections was 2.3/patient. No pin infection has required a change of the pin. Once the construct was removed, patients used a cast for 4-6 weeks and a walker boot for next 6-8 weeks. Conclusion: A talocrural arthrodesis performed by the Ilizarov method offers a high union rate, few deviations and a good functional restoration, often with no additional surgical procedures. In cases with numerous comorbidities and a poor limb condition, it can be a method of choice instead of an arthrodesis using internal fixation in the treatment of end-stage ankle arthritis. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Intracapsular femoral neck fractures in young adults and garden index(Македонско лекарско друштво = Macedonian medical association, 2019); Todorova T - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Severe digital malformations in a rare variant of fibrodysplasia ossificans progressiva(Wiley, 2019-04-22); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Severe digital malformations in a rare variant of fibrodysplasia ossificans progressiva(Wiley-Blackwell, 2019); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Surgical treatment of AO/OTA 31 A1, A2, A3 proximal femoral fractures and functional outcome in patients 6 months after surgery(Medical faculty, Ss Cyril and Methodius University in Skopje, 2020); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Tissue-specific mosaicism in a patient with Rubinstein-Taybi syndrome and CREBBP exon 1 duplication(2019-07); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Osteodensitometric aspects of bone in limb lengthening and deformity correction(Македонско лекарско друштво = Macedonian medical association, 2020); ; ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, VACCINATION, ANESTHESIA AND SURGERY(Medical faculty, Ss Cyril and Methodius University in Skopje, 2020); ; ; Baloski, M - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Developmental disorders of the hip treated at the clinic for orthopaedic diseases in a period of 10 years(2009-2018)(Институт за јавно здравје на Република Македонија = Institute of public health of Republic of Macedonia, 2022-05-04); ; Developmental hip dysplasia includes a wide range of conditions such as subluxation, dislocation, hip instability, and teratological hip. The diagnosis was confirmed by clinical examination, ultrasound examination and anterior-posterior view radiograph (AP). Treatment varied depending on the patient's age and the degree of dysplasia: Pavlik harness, closed reduction, open reduction and corrective osteotomies. In this study 242 patients were included, of whom 198 were female patients and 44 male. All of the patients were treated with conservative treatment- closed reducation and spica casting. Left-sided dislocations were more common than right sided dislocations with predominance in the female patients. The main treatment in follow-up patients was closed reduction with or without adductor muscle tenotomy (m. add. longus). In cases with unsuccessful attempt of closed reduction, open reduction was performed with or without adductor muscle tenotomy. Depending on the residual dysplasia, patients were additionally treated with pelvic osteotomies (Salter 's inominate osteotomy), varus derotation osteotomy, valgus osteotomy, proximal femoral resection, and trochanter major transposition. 167 patients were treated with closed reduction and 3 with open reduction. The remaining patients were treated with closed reduction and additional surgery or with open reduction and additional surgery. Out of all treated patients, only 10 patients had recurrent dislocation of the hip, 7 female and 3 male patients. Closed reduction was performed again on two patients, and open reduction of the hip was performed on one patient. The average age of patients was 21.5 months. By presenting the cases in a period of 10 years, it was conclud that most cases were diagnosed later. Also, the standard closed reduction treatment was successful even after the first year in said patients. Depending on the residual dysplasia of the hip, in order to achieve better congruence of the joint, additional surgeries were performed.