Spasov, Marko
Preferred name
Spasov, Marko
Official Name
Spasov, Marko
Main Affiliation
20 results
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Item type:Publication, The effect of the ankle syndesmosis reduction quality on the short-term functional outcome following ankle fractures(Elsevier BV, 2021-09); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The state and future of emergency medicine in Macedonia(2016); Watkins, ChristopherMacedonia has universal public health care coverage. Acute and emergency patient care is provided in different care environments based on the medical complaint and resource proximity. While emergency medicine and well organized emergency departments (EDs) are an essential component of any developed health care system, emergency medicine as a specialty is relatively non-existent in Macedonia. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Percutaneous Screw Fixation of Distal Tibia Fractures – Functional Results in Sixteen Patients(Scientific Foundation SPIROSKI, 2014-06-15); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Fate of the syndesmotic screw--Search for a prudent solution(Elsevier BV, 2015-11); ; ; ; Bakota, BoreAnkle fractures are common injuries. Since the recognition of the importance of syndesmotic injury in ankle fractures, much of the scientific work has been focused on concomitant syndesmotic injury. Despite the invention of novel devices for restoration and maintenance of the congruent syndesmosis following syndesmotic injury, the metallic syndesmotic screw is still considered to be the "gold standard". The aim of this study was to compare the clinical results in patients who retained the syndesmosis screw with those in whom the screw was removed following open reduction and internal fixation of the malleolar fracture associated with syndesmosis disruption. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Our Experience with Surgical Treatment of Scaphoid Fractures with Headless Compression Screw(Scientific Foundation SPIROSKI, 2024-10-10); ; ; Gjorikj-Petrushevska, MagdalenaBACKGROUND: Fractures of the scaphoid bone are quite common, and they come with their own set of challenges due to the specific shape of the fractures and the delicate blood supply to the scaphoid bone. Failing to diagnose and treat acute scaphoid fractures promptly can result in failure of the bone to heal and subsequent development of wrist arthritis. Advances in diagnosis, surgery, and implant materials have led to a growing inclination towards early surgical fixation, even for non-displaced scaphoid fractures that could potentially be treated without surgery. AIM: The study's goal was to assess the effectiveness of headless compression screws for treating acute scaphoid fractures and, in two cases, nonunion following previous conservative therapy. METHODS: Between January 2022 and March 2024 ten patients with scaphoid fractures were surgically treated at the University Clinic of Traumatology Skopje, within twelve months follow-up. All of them were male with mean age of 27,3 years. All were diagnosed with X-rays and CT scans. Six of the fractures were on the right hand and four on the left. RESULTS: All the patients were surgically treated with open reduction and internal fixation with headless compression screw. Volar approach was used in 9 cases and dorsal approach in only one of them. Six of the patients were surgically treated within 4-14 days after injury and four of them were surgically treated due to non union after previous conservative treatment, two of them after three and two of them after seven months of injury. All fractures united after a mean time of 9,5 weeks, without secondary displacement. Throughout the follow-up period, there were no incidences of developing osteoarthritis of the wrist. CONCLUSIONS: It is crucial to understand that achieving a positive result is not guaranteed for every patient and relies on selecting the right patients and fractures. However, our study shows favorable results in sooner surgical treatment with the headless compression screw, rather than delayed treatment of scaphoid fractures. Surgical treatment with headless compression screw showed both functional and radiographic results. While it is beneficial for the screw to be positioned in the subchondral area, it is important to be cautious to avoid cortical penetration, as this will require the screw to be removed later. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, De Anquin syndrome-rare cause of low back pain: A case report with review of literature(Centre for Evaluation in Education and Science (CEON/CEES), 2016); - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Contemporary Management of Mangled Extremity: A Review(Македонско лекарско друштво = Macedonian medical association/Walter de Gruyter GmbH, 2015-01-01); ; <jats:title>Abstract</jats:title> <jats:p> The treatment of choice of mangled extremities continues to be a subject of debate among surgeons.</jats:p> <jats:p>Nowadays, much of the extremities that used to be amputated are saved, which is due to the progress in the fields of resuscitation, microvascular techniques, and advancements in fracture fixation. However, even if technical possibility of extremity salvage exists, the surgeon must always keep in mind that the final goal of the treatment is good functional outcome and to choose the modality of treatment in accordance to the principle. It is well-known that the final outcome following the treatment of the mangled extremities is influenced by plenty of factors. Until now, there are many scoring systems that are intended to guide the surgeon during the decision-making process in the acute phase of the treatment of mangled extremities. Nonetheless, many agree that the predictive value of these systems is still questionable. The process of limb salvage is lengthy, challenging and expensive, and in certain instances reoperations are necessary. Yet, morbidity and mortality are still significant.</jats:p> <jats:p>The aim of our review was to present the current knowledge regarding the mechanism of injury and initial treatment of the mangled extremity and the scoring systems available. Furthermore, we are going to discuss the controversies concerning definitive treatment and complications following these injuries.</jats:p> - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Влијание на времетраењето, репозицијата и нивото на фиксацијата на синдезмозата на скочниот зглоб врз функционалниот исход кај малеоларните фрактури(Медицински факултет, УКИМ, Скопје, 2019)Malleolar fractures with ankle syndesmosis disruption are common injuries whose incidence will continue to increase in the future. Dillemas surrounding these injuries include the timing of positioning screw removal, the level of the lag screw placement and the syndesmotic reduction; all of them being subjected to individual practice and expert opinions. The research focused on this subject still represents small series using various treatment protocols and different outcome measures. The aim of the presented research is to evaluate the effect of the duration and level of syndesmotic fixation as well as the quality of reduction of the syndesmosis on the functional outcome in malleolar fractures with ankle syndesmotic disruption. The prospective research in a period of 2.5 years was conducted at the University clinic of Traumatology – Skopje. Follow up period was 6 months. Inclusion and exclusion criteria were defined; the operative treatment and rehabilitation were conducted in accordance with the Institution protocol. The groups of the patients were definded with regard to the duration od the syndesmotic fixation, level of the lag-screw placement and the quality of syndesmotic reduction as measured by antero-posterior tibiofibular ratio. Functional outcome was measured with The American Orthopedic Foot and Ankle Society Ankle Hindfoot Score and The Olerud Molander Score. The statistical analysis was undertaken by means of desctiptive and nonparametrical methods, and statistically significant were considered p<0.05 values. The study included total of 68 patients with a nonsignificant male predominance (57.35%) and the mean age of 48 years (range 20-72). Comorbidities were noted in 80.9% of the study group and the cardiovascular diseases were predominant. The average Body Mass index of the study group was 22.69 kg/m2. Trimalleolar fracture was present in 54.41%; according to AO classification, type B fracture was present in 44 (67.71%) examinees, the others has type C fracture. The average American Orthopedic Foot and Ankle Society Ankle Hindfoot Score was 85.73 points while average Olerud Molander score was 93.97 points. With regard to the duration of the syndesmotic fixation, the groups with intact, removed and broken screw were formed, with 36 (52.94%), 20(29.41%) and 12 (17.65%) examinees respectively and with American Orthopedic Foot and Ankle Society Ankle Hindfoot Score of 85.42, 85.75 and 86.67 points (p=0.29); the average Olerud Molander Score was 84.25, 79.72 and 96.25 points respectively (p=0.000026). With regard to the level of syndesmotic screw placement the examinees were stratified into following gropus: below 2cm, 2-4cm and above 4 cm (9, 33 and 26 examinees respectively) and demonstrated the scores of 86.19, 87.22 and 84.97 American Orthopedic Foot and Ankle Society Ankle Hindfoot Score points (p=0.82), and 84.04, 84.44 and 83.79 points (p=0.99) of Olerud Molander Score, respectively. Based on the quality of sundesmotic reduction, the examinees were divided into anatomical and nonanatomical group, each counting 51 (75%) and 17 (25%) examinees respectively, with an average 90.11 and 70.18 points of American Orthopedic Foot and Ankle Society Ankle Hindfoot Score respectively; Olerud Molander score was 88.92 and 69.71 points for anatomical and nonanatomical group respectively, with p value below 0.0001 for both scores. In conclusion, the results of the present study demonstrated that the duration and level of the syndesmotic fixation has no effect on the functional outcome; however, the patients with removed screw have the lowest subjective score as measured by Olerud Molander system 6 months post injury. Anatomical reduction resulted in a significantly better outcome. These results do not spport the routine positioning srew removal and do emphasise the importance of the anatomical reduction of the syndesmosis. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Early surgical site infection following removal of the syndesmotic screw in ankle fractures(2017); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Fracture fixation in multiple-trauma - field of conflicting concepts: a review(2015); ;