Djoleva Tolevska, Roza
Preferred name
Djoleva Tolevska, Roza
Official Name
Djoleva Tolevska, Roza
Main Affiliation
Email
roza.dzoleva@medf.ukim.edu.mk
35 results
Now showing 1 - 10 of 35
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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, GIANT CELL TUMOR OF THE PROXIMAL TIBIA TREATED WITH EN BLOC RESECTION AND RECONSTRUCTION WITH SEMI-CONSTRAINED KNEE ENDOPROSTHESIS: А CASE REPORT(Faculty of Physical Education, Sport and Health, Skopje, Republic of Macedonia, 2021); ; ; ; Introduction:Giant cell tumor(osteoclastoma) is benign, locally destructive tumor with low metastatic potential, but it has tendency of recurrence after the treatment. The primary areas of involvement are the ends of long bones, commonly the distal femur and proximal tibia. The most preferred treatment modality of the giant cell tumor is surgery. Case report: A 54-year-old female presented with pain and slight swelling localized over the proximal left tibia and limited range of motion in the left knee. After histological confirmation of the diagnosis with open biopsy, en bloc resection of the lesion wasmade with reconstruction of knee joint with semi-constrained knee endoprosthesis and trabecular metal. Conclusion: Selecting the appropriate treatment method is very important for the recovery of the function of the affected joint and for the whole extremity, as well. There is an advantage of en bloc resection and reconstruction with semi- constrained knee endoprosthesis in combination with trabecular metal in cases with extensive destruction of bone structure, recurrence, pathological fracture or difficulty in reconstruction after intralesional curettage. Advantages in functional aspect of this treatment modality are retaining the stability of the knee joint, substituting the bone defect and fast recovery of the function of the affected joint and limb. - 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); ; ;Nancheva Bogoevska, A; Baloski, M - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Acetabular revisions in total hip arthroplasty(Medical faculty, Ss Cyril and Methodius University in Skopje, 2020); ; ;Samardziski M; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, PEDIATRIC SURGICAL STRESS RESPONSE AND ANESTHESIA(MIT Univerzitet Skopje, 2021); ; ; ;Nancheva-Bogoevska, AndrejaSurgical trauma disturb the body homeostasis by inducing a combination of local response to tissue injury and generalized activation of systemic metabolic and hormonal pathways via afferent nerve pathways and the central nervous system. The local inflammatory responses and the parallel neurohumoral responses are not isolated but linked through complex signaling networks, some of which remain poorly understood. The stress response to surgical trauma occurs as a protective mechanism, by activating a series of endocrine, metabolic and immune processes which prevent disturbance of homeostasis. The magnitude of the response is broadly related to the site of injury (greater in regions with visceral pain afferents such as abdomen and thorax) and the extent of the trauma. The stress response to surgical trauma is different in premature, newborns, infants, and in children approaching puberty is the more similar as in adults. New anesthetic agents basically do not trigger the endocrine-metabolic response of the body. Endocrine-metabolic, immune and autonomic responses to surgical trauma can be modified using regional anesthetics techniques and the use of analgesics in general anesthesia. It is the duty of each anesthesiologist before the surgery according to the patient and the kind and length of the surgical intervention, to assess which anesthesia technique and which anesthesiological agents is selected for conducting the operation, in order to provide “stress – free” anesthesia. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Surgical treatment of scalp skin cancer with endocranial invasion(Macedonian Association of Orthopedics and Traumatology, 2016); ; ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, PERCUTANEOUS AS A MINIMALLY INVASIVE TECHNIQUE FOR ACHILLES TENDON RUPTURE(University Ss. Cyril and Methodius in Skopje, 2022) ;Gjorgjieska, Kornelija; ;Dalipi, Rezeart; Trajanovski, AleksandarThe 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 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, MISDIAGNOSIS OF CERVICOBRACHIAL SYNDROME WITH SUBOCCLUSION OF THE LEFT SUBCLAVIAN ARTERY(Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2023); ;Nikolovski, Robert; ; Introduction: Cervical spondylosis (degenerative osteoarthritis) and subclavian occlusion, mostly caused by atherosclerosis, share similar symptoms. Both are diseases of the advanced age. Thus, there are similarities of overlapping or misdiagnosis of both diseases. The aim of this case report was to present diagnosis and treatment of subclavian subocclusion and possibility of misdiagnosis with cervicobrachial syndrome. Case report: We present the case of a 71-year-old woman with noncontrolled hypertension. For many years she complained of occasional pains and tingling in her neck, left shoulder, and hand, coolness in the fingers of the left hand, headache and occasionally dizziness. An x-ray finding of the cervical spine was in favor of spondyloarthrosis on the neck vertebrae, and after consulting an orthopedic specialist, she was diagnosed and treated as cervicobrachial syndrome for many years without success. Cardiology examination detected different high blood pressure readings in both arms and that induced us to perform a computerized angiography (CT). CT showed subocclusion on the left subclavian artery after which our patient underwent angiography and stent implantation. After the procedure, the blood pressure difference decreased and the symptoms disappeared. Conclusion: Due to similar symptoms, whenever cervicobrachial syndrome is diagnosed, the blood pressures in both arms should be measured. In case of their difference, subclavian stenosis should also be considered and appropriate investigations should be made, especially if the difference in pressures is high. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, PREVALENCE OF MUSCULOSKELETAL DISORDERS IN PRIMARY SCHOOL CHILDREN(Faculty of Physical Education, Sport and Health, Skopje, Republic of Macedonia, 2020); ; ; ; Introduction: Early detection and understanding the musculoskelatal disordersof in children and young people is very important for understanding the etiology, development of musculoskeletal disorders and what is very important for creating nationally effective preventive strategies. The aim of this study is to evaluate the prevalence of skeletal disorders in all primary schools on the territory of the municipality Kisela voda, Skopje. Materials and Methods: The material for the investigation comprised 4609 school children. The data were collected through interview, questionnaire, observation, and examination. Data analyses was performed by SPSS version 22, using descriptive analytic statistics. The significance level was 95%. Results: The results showed that drooping shoulders (53%), scoliosis (25.3%) and kyphosis (7.4%) were the most common skeletal disorders. Conclusion: Prevention of the musculoskeletal system is very important to detect early-stage deformity. It is very important for the individual, the family and the whole society. With the help of prevention, there is an early cure, the possibility of treatment with less invasive methods or there is a possibility of reduction or complete non-surgical treatment.
