Atanasov, Nenad

Preferred name

Atanasov, Nenad

Official Name

Atanasov, Nenad

Translated Name

Атанасов, Ненад

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TALOCRURAL ARTHRODESIS USING THE METHOD OF ILIZAROV
(Faculty of Physical Education, Sport and Health, Skopje, Republic of Macedonia, 2020)
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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.
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THE MOST COMMON DISORDERS OF THE HAND ASSOCIATED WITH CARPAL TUNNEL SYNDROME IN ADULTS
(Институт за јавно здравје на Република Македонија = Institute of public health of Republic of Macedonia, 2021)
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Ilir Shabani
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Liljana Angeleska
Carpal tunnel syndrome (CTS) is one of the most common peripheral neuropathies caused by chronic compression of the median nerve in the area of the carpal tunnel and its etiology is multifactorial. Trigger fingers and de Quervain’s disease are common disorders of the hand related to CTS in adults.Theaim of this study was to present the most common disorders of the hand such as stenosing tenosynovitis in adults with surgically treated CTS and to evaluate their demographic data.Material and methods: A total of 116 surgically treated patients with established diagnosis of CTS (clinically and by electrophysiological examination) were included in this prospective study, which was conducted at the University Clinic for Orthopedic Diseases in Skopje. Demographic data, findings of history of the disease and clinical examination were recorded and analyzed.Results: Participants with CTS included in the study were with a mean age of 55.41±10.7 years (age range 29-75). 75% of them were female. 63.8% of participants suffered from one or more comorbid chronic diseases. On admission to hospital, disorders such as trigger fingers and de Quervain’s disease were concomitantly diagnosed in 15.51% on ipsilateral hand with CTS. All disorders were surgically treated following open carpal tunnel release, as “one stage procedure”, under local anesthesia.Conclusion: Our findings have determined concomitant existence of CTS and stenosing tenosynovitis (trigger fingers and de Quervain’s disease) on ipsilateral hand, which suggests common etiological factors. Female gender and age range 40-60 years are major common factors related to these three disorders.
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Influence of alendronate therapy on the results of densitometric examination after implantation of total hip endoprosthesis
(Scientific Foundation SPIROSKI, 2021-06-20)
Shabani, Ilir
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Velkovski, Vilijam
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The development of aloarthroplasty of the hip is continuously rising. After implantation of a total cement-free hip endoprosthesis, often there is a periprosthetic femoral bone loss. Alendronate has been shown to be a potent inhibitor of bone resorption activity; it inhibits osteoclastic bone resorption, increases bone mass, and plays a significant role in post-implantation stabilization of the femur. The aim of this study was to determine the effect of alendronate on osteointegration of hip endoprosthesis.Material and methods: The study analyzed 10 patients operated on with implantation of a total cement-free hip endoprosthesis (THP). The included patients were examined by a radiographic method at 6 and 12 months and DXA method at 6 and 12 months. Results: The study showed differences in the values of bone mineral density and bone mineral content in the interval between 6 and 12 months in patients undergoing THP, and hence we can conclude that alendronate therapy after THP implantation reduced periprosthetic loss of bone mass and implant stiffening. Alendronate is a proven inhibitor of periprosthetic bone loss that occurs after prirmary impantation of a total cement-free hip endoprosthesis.
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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)
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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.
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Osteodensitometric aspects of bone in limb lengthening and deformity correction
(Македонско лекарско друштво = Macedonian medical association, 2020)
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Acetabular revisions in total hip arthroplasty
(Medical faculty, Ss Cyril and Methodius University in Skopje, 2020)
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Samardziski M
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PEDIATRIC SURGICAL STRESS RESPONSE AND ANESTHESIA
(MIT Univerzitet Skopje, 2021)
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Nancheva-Bogoevska, Andreja
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Surgical 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.
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Comparative analysis of radigraphic and ultrasonographyc parameters of new bone formation throughout limb lengthening
(SHMSHM - AAMD, 2014)
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Analysis of the results of implantation of total hip endoprothesis in severe dysplastic coxarthrosis
(Macedonian Academy of Sciences and Arts/Walter de Gruyter GmbH, 2014)
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The aim of this study is to affirm the importance of operative treatment of severe dysplastic coxarthrosis through analysis of the results of implantation of total cementless endoprothesis in patients with DDH Crowe types III and IV.
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PREVALENCE OF MUSCULOSKELETAL DISORDERS IN PRIMARY SCHOOL CHILDREN
(Faculty of Physical Education, Sport and Health, Skopje, Republic of Macedonia, 2020)
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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.

Atanasov, Nenad

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