Stojmenski, Slavcho

Preferred name

Stojmenski, Slavcho

Official Name

Stojmenski, Slavcho

Main Affiliation

slavcho.stojmenski@medf.ukim.edu.mk

Now showing 1 - 10 of 13

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Trends from Minimally Invasive to Non-invasive Glucose Measurements
(IEEE, 2020-09-28)
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Guseva, E.
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Лимитирана калибрирана интрамедуларна фиксација во третманот на отворените скршеници на дијафизата на тибијата
(Македонско здружение на ортопеди и травматолози = Macedonian Association of orthopedics and traumatology, 2006-08)
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Ј. Савески
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Reliability Assessment of Arthroscopic Findings Versus MRI in ACL Injuries of the Knee
(ScopeMed, 2014-04)
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Introduction: This study was conducted to analyze the reliability of clinical diagnosis in ACL tear injuries. Material and methods: All patients attending our clinic with knee pain from 2009 to 2013 underwent systematic and thorough clinical assessment. From one hundred and three patients with knee problems in 73 were arhroscopicaly diagnosed ACL tears. All these patients underwent therapeutic arthroscopic knee surgery. The clinical diagnosis was confirmed during this procedure. The accuracy, sensitivity and specificity were calculated based on these arthroscopic findings. Results: The accuracy of clinical diagnosis in our study was 82.5% for ACL tears. Our study revealed high sensitivity and specificity and almost high accuracy for ACL injuries of knee joint in comparison to arthroscopy. MRI is an appropriate screening tool for therapeutic arthroscopy, making diagnostic arthroscopy unnecessary in most patients. Conclusion: Magnetic resonance imaging is accurate and non invasive modality for the assessment of ligamentous injuries. It can be used as a first line investigation in patients with soft tissue trauma to knee.
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The role of hemostatic monitoring of dabigatran etexilate in patients with proximal femur fracture undergoing bipolar endoprosthesis
(Medical faculty, Ss Cyril and Methodius University Skopje, Macedonia, 2020)
Todorovska, Elizabeta
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Thromboembolic diseases are major cause of morbidity and mortality in the developed world as a result of an excessive stimulation of coagulation. Major surgery, especially in trauma patients with femur fracture, is recognized as risk factor for thromboembolic event because of which thromboprophylactic medicaments are necessary. Thrombin is a key serine protease in coagulation cascade and numerous efforts have been made to develop safe and effective orally active direct thrombin inhibitor (DTI). Dabigatran etexilate is a synthetic, reversible DTI with high affinity and specificity for its target, binding both free and clot -bound thrombin and offers a favorable pharmacokinetic profile. The study was conducted to evaluate the role of haemostatic monitoring in patients with bipolar prosthesis after proximal femur fracture using dabigatran for thromboprophylaxis. The study was performed according the third degree criteria for clinical investigation for drug application. Patients were divided in two groups according to the age related dabigatran dosage (150mg/twice daily in 65-70 years group and 110mg/twice daily in 70-75 years group). Informed consent was provided from all the patients. There were 42 investigated patients with implanted femur prosthesis. Haemostatic monitoring (platelet count, PT, APTT, TT, DD, PC, PS, ATIII) of patients receiving dabigatran was performed in order to evaluate the anticoagulant effect of the drug. Haemostatic monitoring was performed preoperative and also at 1, 7, 14, 21, 28 and 35 postoperative day. Color doppler ultrasonography investigation was performed at 7 and 35 days after the operation. In all of the patients, significant changes were observed only in APTT, TT and DD values which was not related to the dabigatran dose regiment. There were no thrombotic or hemorrhagic complications observed in none of the investigated patients which is due to the appropriate prophylactic doses of dabigatran.
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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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Treatment of Decubitis Ulcer Stage IV in the Patient with Polytrauma and Vertical Share Pelvic Fracture, Diagnosed Entherocollitis and Deep Wound Infection with Clostridium Difficile with Combined Negative Pressure Wound Therapy (NPWT) and Faecal Management System: Case Report
(Scientific Foundation SPIROSKI, 2017-06-15)
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Merdzanovski, Igor
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The aim of this paper was to present a case with the successful treatment of decubitis ulcer stage IV in the patient with polytrauma and vertical share pelvic fracture and diagnosed entherocollitis combined with deep wound infection with Clostridium difficile treated with combined Negative Pressure Wound Therapy (NPWT) and faecal management system.
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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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Influence of vancomycin and meropenem loading on compressive strength of polymethyl methacrylate bone cement
(Институт за јавно здравје на Република Македонија = Institute of public health of Republic of Macedonia, Co-publisher Scientific foundation Spiroski, 2025)
Popovska, Danica
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Shabani, Ilir
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The rise of antibiotic resistance of certain bacteria to commonly used agents in antibiotic- loaded polymethyl methacrylate (PMMA) bone cement has led to the search for new antibiotic agents. A potential problem in introducing new antibiotics into the PMMA mixture is disruption of the mechanical properties of bone cement, which is intended for mechanical fixation of joint implants. The aim of this study was to test compressive strength of bone cement loaded with vancomycin, meropenem or their combination. Materials and methods: Five groups of samples (PMMA, PMMA+2.5%w/w vancomycin, PMMA+2.5%w/w meropenem, PMMA+1.25%w/w vancomycin and 1.25%w/w meropenem and PMMA+2.5%w/w vancomycin and 2.5%w/w meropenem) were prepared and tested for compressive strength according to specifications of the ISO5833:2002 international standard. Results: All tested groups had compressive strength significantly above the minimum value of 70 MPa set by the standard (87.9 – 98.6MPa, p<.0001). All groups of antibiotic-loaded bone cement had significantly lower compressive strength than PMMA. Conclusion: All tested groups met the basic compressive strength criteria for clinical use in arthroplasty procedures.
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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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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

Stojmenski, Slavcho

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