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  • 11
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    Clubfoot in children
    National Library of Serbia ; 2011
    In:  Acta chirurgica Iugoslavica Vol. 58, No. 3 ( 2011), p. 97-101
    Details
    In: Acta chirurgica Iugoslavica, National Library of Serbia, Vol. 58, No. 3 ( 2011), p. 97-101
    Abstract: Pes ekvinovarus (krivo stopalo) ili "clubfoot" je poremecaj koji se sastoji od ekvinus, varus i duktus deformitet stopala. Etiologija je nepoznata, a opisano je vise razlicitih teorija. Patoloske promene na pojedinim kostima doprinose deformitetu, a kontrakture mekih tkiva, koje ukljucuju misice, tetive, tetivne omotace, ligamente i kapsulu skocnog, talonavikularnog i subtalarnog zgloba su dodatni faktori. Opisani su razliciti rezimi neoperativnog lecenja, ukljucujuci upotrebu korektivnih gipseva, ortoza i dinamickih traka. Hirurgija je indikovana kod deformiteta koji se ne koriguju na konzervativno lecenje i mora se prilagoditi uzrastu deteta i vrsti rezidualnog deformiteta. Glavni cilj lecenja je bezbolno, funkcionalno i anatomski normalno stopalo, bez potrebe za posebno prilagodjenom obucom, sto se moze postici nakon detaljnog, individualnog pristupa i uz veliko iskustvo u pedijatrijskoj ortopediji. PR Projekat Ministarstva nauke Republike Srbije, br. 41004
    Type of Medium: Online Resource
    ISSN: 0354-950X , 2406-0887
    URL: Article
    DOI: 10.2298/ACI1103097S
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2011
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  • 12
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    Validity of clinical and ultrasound examination related to arthroscopy in acute injury of the medial meniscus of the knee
    National Library of Serbia ; 2008
    In:  Srpski arhiv za celokupno lekarstvo Vol. 136, No. 1-2 ( 2008), p. 28-32
    Details
    In: Srpski arhiv za celokupno lekarstvo, National Library of Serbia, Vol. 136, No. 1-2 ( 2008), p. 28-32
    Abstract: Uvod Povrede meniskusa kolena se cesto javljaju kod sportista, ali i kod drugih ljudi pri obavljanju svakodnevnih zivotnih aktivnosti. Cilj rada Cilj rada je bio da se uporede dijagnosticke vrednosti klinickog i ultrazvucnog pregleda u odnosu na artroskopski pregled kod akutnih povreda medijalnog meniskusa kolena. Metod rada Prospektivno istrazivanje je obuhvatilo 198 bolesnika koji su bolnicki leceni od 2004. do 2006. godine u Institutu za ortopedsko- hirurske bolesti "Banjica" i Specijalnoj ortopedsko- hirurskoj bolnici "Decedra" u Beogradu zbog akutne povrede medijalnog meniskusa kolena. Pre artroskopskog pregleda kod svakog bolesnika su uradjeni klinicki i ultrazvucni pregled. Rezultati Vrednosti senzitivnosti (91,1%), specificnosti (80,0%), pozitivne prediktivne vrednosti (83,6%) i negativne prediktivne vrednosti (88,9%) ultrazvucnog pregleda akutnih lezija medijalnog meniskusa su procentualno manje od vrednosti senzitivnosti (97,2%), specificnosti (90,2%), pozitivne prediktivne vrednosti (86,0%) i negativne prediktivne vrednosti (98,2%) ultrazvucnog pregleda hronicnih lezija medijalnog meniskusa. Zakljucak Ultrazvucni pregled je vredniji metod kada je potrebno otkriti lezije medijalnog meniskusa kolena od klinickih testova koji su u ovoj studiji korisceni za njihovo otkrivanje.
    Type of Medium: Online Resource
    ISSN: 0370-8179 , 2406-0895
    URL: Article
    DOI: 10.2298/SARH0802028T
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2008
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  • 13
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    Alumina-on-alumina ceramic versus metal-on-highly cross-linked polyethylene bearings in total hip arthroplasty: a comparative study
    Springer Science and Business Media LLC ; 2010
    In:  International Orthopaedics Vol. 34, No. 8 ( 2010-12), p. 1129-1135
    Details
    In: International Orthopaedics, Springer Science and Business Media LLC, Vol. 34, No. 8 ( 2010-12), p. 1129-1135
    Type of Medium: Online Resource
    ISSN: 0341-2695 , 1432-5195
    URL: Article
    DOI: 10.1007/s00264-009-0899-6
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2010
    detail.hit.zdb_id: 1459230-7
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  • 14
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    Total hip arthroplasty
    National Library of Serbia ; 2012
    In:  Srpski arhiv za celokupno lekarstvo Vol. 140, No. 5-6 ( 2012), p. 379-384
    Details
    In: Srpski arhiv za celokupno lekarstvo, National Library of Serbia, Vol. 140, No. 5-6 ( 2012), p. 379-384
    Abstract: Totalna aloartroplastika je najcesca rekonstruktivna hirurska intervencija zgloba kuka kod odraslih osoba. Ovom operacijom se delovi natkolene kosti i acetabuluma zamenjuju vestackim biokompatibilnim materijalima. Osnovni cilj je da se ponovo uspostavi bezbolna pokretljivost zgloba uz odrzavanje maksimalne stabilnosti. Hirurska tehnika, implantacioni materijali, dizajn endoproteze i nacini njenog vezivanja za kost vremenom su se menjali i medjusobno prilagodjavali. Totalna aloartroplastika kuka je postupak kojim se, pre svega, poboljsava kvalitet zivota bolesnika. Moguce postoperacione komplikacije su veoma raznovrsne - od fatalnih do onih koje se manifestuju godinama kasnije. Svaka nova hirurska procedura u prethodno operisanoj regiji kuka povezana je sa znacajno manjim mogucnostima za uspeh. Zbog toga su kod primarne totalne aloartroplastike procena i priprema bolesnika pre operacije veoma znacajni. Naucenu hirursku tehniku treba stalno usavrsavati i izvoditi je precizno i beskompromisno, kako bi ugradjeni implantat sto duze potrajao. Broj operacija totalne aloartroplastike kuka ce se i ubuduce uvecavati, ali ce se koristiti sve noviji i bolji materijali. PR Projekat Ministarstva nauke Republike Srbije, br. III41004
    Type of Medium: Online Resource
    ISSN: 0370-8179 , 2406-0895
    URL: Article
    DOI: 10.2298/SARH1206379S
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2012
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  • 15
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    Open segmental fractures of the tibia treated by external fixation
    National Library of Serbia ; 2012
    In:  Srpski arhiv za celokupno lekarstvo Vol. 140, No. 11-12 ( 2012), p. 732-737
    Details
    In: Srpski arhiv za celokupno lekarstvo, National Library of Serbia, Vol. 140, No. 11-12 ( 2012), p. 732-737
    Abstract: Introduction. Open segmental fractures of the tibia are rare but severe injuries. In these fractures the wide zone of injury (damage of all structures of the lower leg) creates very unsuitable biological conditions for healing of the fracture. Objective. The aim of our work was to present the results of treatment of patients with segmental open fractures of the tibia treated by external fixation. Methods. We analyzed treatment results of 21 patients with open segmental tibial fractures who were treated using the method of external fixation at the Clinical Center Nis from January 1, 1995 to July 31, 2010. The average age of the patients was 53 years; the youngest patient was 27 years and the oldest one 80 years. According to the Gustilo open fracture classification, there were 3 (14.3%) type I, 6 (28.6%) type II, 8 (38.1%) type IIIA, and 4 (19.0%) type IIIB. All the patients were treated by a unilateral type Mitkovic external fixator by Traffix Company. Results. Union was attained in 16 (76.2%) fractures without severe complications (pseudoarthrosis, chronic osteitis and angular deformities of over 10 degrees). Among severe complications associated with open segmental tibial fractures, in two cases we registered septic pseudoarthrosis, in one aseptic pseudoarthrosis and in two large angular deformities of the tibia after union, with a valgus of over 10 degrees and extremity shortening of over 2 cm which required additional surgery. Conclusion. External fixation by the use of Mitkovic external fixator is one of the methods of choice in the treatment of open segmental tibial fractures, which incorporated with antibiotic therapy provides good biomehanical conditions for segmental fracture healing that enables good stability of the segmental tibial fracture and decreases the risk of deep infections.
    Type of Medium: Online Resource
    ISSN: 0370-8179 , 2406-0895
    URL: Article
    DOI: 10.2298/SARH1212732G
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2012
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  • 16
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    Contribution to the method for determining femoral neck axis
    National Library of Serbia ; 2014
    In:  Srpski arhiv za celokupno lekarstvo Vol. 142, No. 3-4 ( 2014), p. 178-183
    Details
    In: Srpski arhiv za celokupno lekarstvo, National Library of Serbia, Vol. 142, No. 3-4 ( 2014), p. 178-183
    Abstract: nema
    Type of Medium: Online Resource
    ISSN: 0370-8179 , 2406-0895
    URL: Article
    DOI: 10.2298/SARH1404178A
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2014
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  • 17
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    Physical treatment of foot deformities in childhood
    National Library of Serbia ; 2011
    In:  Acta chirurgica Iugoslavica Vol. 58, No. 3 ( 2011), p. 113-116
    Details
    In: Acta chirurgica Iugoslavica, National Library of Serbia, Vol. 58, No. 3 ( 2011), p. 113-116
    Abstract: U toku samog razvoja mogu se javiti deformiteti stopala, ne samo u doba rasta i razvoja, vec i u poznim godinama. Najcesci deformiteti stopala su: ravno stopalo, urodjeno krivo stopalo i cukljevito stopalo. Pre odluke za hirursko korigovanje deformiteta, kada je god to moguce treba pacijenta uputiti na fizikalnu terapiju, koja moze dati prihvatljive rezultate u pojedinim fazama lecenja. U osnovi terapija se bazira na kineziterapiji i aplikovanju pojedinih agenesa (termoterapija, elekroterapija, ultrazvuk), i ortoza za odrzavanje korekcija. Kada ovakva terapija ne da zadovoljavajuce rezultate, deformitet se koriguje hirurskim putem. Nakon hirurskog zahvata, fizikalne procedure mogu doprineti brzem oporavku, i smanjenju mogucih komplikacija (bol, otok, kompleksni regionalni sindrom bola - Mb. Sudeck) koje mogu pratiti hirurski nacin korekcije deformiteta. Takodje obavezan vid rehabilitacije je i kineziterapija. PR Projekat Ministarstva nauke Republike Srbije, br. 41004
    Type of Medium: Online Resource
    ISSN: 0354-950X , 2406-0887
    URL: Article
    DOI: 10.2298/ACI1103113M
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2011
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  • 18
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    Association of gene variants in TLR4 and IL-6 genes with Perthes disease
    National Library of Serbia ; 2014
    In:  Srpski arhiv za celokupno lekarstvo Vol. 142, No. 7-8 ( 2014), p. 450-456
    Details
    In: Srpski arhiv za celokupno lekarstvo, National Library of Serbia, Vol. 142, No. 7-8 ( 2014), p. 450-456
    Abstract: Introduction. Perthes disease is idiopathic avascular osteonecrosis of the hip in children, with unknown etiology. Inflammation is present during development of Perthes disease and it is known that this process influences bone remodeling. Objective. Since genetic studies related to inflammation have not been performed in Perthes disease so far, the aim of this study was to analyze the association of frequencies of genetic variants of immune response genes, toll-like receptor 4 (TLR4) and interleukin-6 (IL-6), with this disease. Methods. The study cohort consisted of 37 patients with Perthes disease and 50 healthy controls. Polymorphisms of well described inflammatory mediators: TLR4 (Asp299Gly, Thr399Ile) and IL-6 (G-174C, G- 597A) were determined by polymerase chain reaction restriction fragment length polymorphism method. Results. IL-6 G-174C and G-597A polymorphisms were in complete linkage disequilibrium. A statistically significant increase of heterozygote subjects for IL-6 G-174C/G-597A was found in controls in comparison to Perthes patient group (p=0.047, OR=2.49, 95% CI=1.00-6.21). Also, the patient group for IL-6 G-174C/G- 597A polymorphisms was not in Hardy-Weinberg equilibrium. No statistically significant differences were found between patient and control groups for TLR4 analyzed polymorphisms. A stratified analysis by the age at disease onset also did not reveal any significant difference for all analyzed polymorphisms. Conclusion. Our study revealed that heterozygote subjects for the IL-6 G-174C/G-597A polymorphisms were significantly overrepresented in the control group than in the Perthes patient group. Consequently, we concluded that children who are heterozygous for these polymorphisms have a lower chance of developing Perthes disease than carriers of both homozygote genotypes.
    Type of Medium: Online Resource
    ISSN: 0370-8179 , 2406-0895
    URL: Article
    DOI: 10.2298/SARH1408450S
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2014
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  • 19
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    Medial rotation deformity of the hip in cerebral palsy: Surgical treatment by derotation femoral osteotomy
    National Library of Serbia ; 2004
    In:  Acta chirurgica Iugoslavica Vol. 51, No. 3 ( 2004), p. 29-35
    Details
    In: Acta chirurgica Iugoslavica, National Library of Serbia, Vol. 51, No. 3 ( 2004), p. 29-35
    Abstract: Unutrasnje rotacioni deformitet kuka predstavlja problem za pokretne bolesnike hendikepirane cerebralnom paralizom zbog ometanja hoda usled sudaranja uvrnutih kolena, padova, povredjivanja i cestih distorzija kolona i skocnog zgloba. Ova deformacija je uzrokovana povecanjem ugla anteverzije vrata butne kosti. Svrha rada je da se analiziraju rezultati postupka derotacione osteotomije butne kosti uz primenu originalne metode preciznog odredjivanja stepena derotacije. Indikacije za ovu operaciju su postavljane kod pokretnih bolesnika starijih od 10 godina, koji su imali smetnje pri hodu i ograni- cenje spoljasnje rotacije ispod 15, uz povecanje unutras nje rotacije preko 70 u kuku na strani deformiteta. Operisano je 20 femura kod 17 bolesnika sposobnih za samostalan hod. Prosecna starost operisanih je bila 21 godina (11-42), a prosecno vreme pracenja je trajalo 11 godina (3-17 godina). Procena rezultata je vrsena na osnovu poredjenja vrednosti rotacionih pokreta u kuku i na osnovu postojanja subjektivnih smetnji pre i posle operacije. Odlican rezultat je postignut kod 12 (70.6%) bolesnika, odn. 15 (75%) kukova; dobar rezultat kod 3 (17.6%) bolesnika odn. 3 (15%) kuka; neuspesan rezultat kod 2 (11.8%) bolesnika, odn. 2 (10%) kuka. Komplikacije su konstatovane kod 6 bolesnika, odn. 6 (30%) operisanih femura. Zakljucujemo da se postupak derotacione osteotomije moze preporuciti za uspesno resavanje unutrasnjerota- cionog deformiteta kuka kod bolesnika sa spastickom formom cerebralne paralize koji hodaju. Narocito ako se imaju u vidu navedene indikacije i primena originalnog metoda preciznog merenja vrednosti derotacije. Zbog relativno visokog procenta komplikacija, narocito u obliku hronicnog osteita, savetuje se primena ovog operativnog postupka u uzrastu od 10- 15 godina, kada se taj problem moze lakse sanirati nego u starijem uzrastu.
    Type of Medium: Online Resource
    ISSN: 0354-950X , 2406-0887
    URL: Article
    DOI: 10.2298/ACI0403029C
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2004
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  • 20
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    Hallux valgus
    National Library of Serbia ; 2011
    In:  Acta chirurgica Iugoslavica Vol. 58, No. 3 ( 2011), p. 107-111
    Details
    In: Acta chirurgica Iugoslavica, National Library of Serbia, Vol. 58, No. 3 ( 2011), p. 107-111
    Abstract: Hallux valgus je kompleksan deformitet prednjeg stopala. Pored lateralne devijacije prvog metatarzofalan-gealnog zgloba vece od 15-20 stepeni i intermetatrzalnog varusa veceg od 8-9 stepeni, odlikuje se i opseznim promenama u mekim tkivima svoda, sezamoidnom mehanizmu i metatarzokuneiformnom zglobu. Javlja se gotovo iskljucivo kod ljudi koji nose obucu. Iako se donekle moze tretirati neoperativno, korektivnim separatorima i uloscima, dominantno lecenje je operativno. Opisan je veliki broj operativnih postupaka ciji je cilj korekcija deformiteta i uspostavljanje normalne biomehanike prednjeg stopala. Postoji sedam konceptualno razlicitih procedura pocevsi od jednostavne buniektomije, preko raznih mekotkivnih procedura, metatarzalnih i falangealnih osteotomija, do resekcione artoplastike i metatatrzofalan-gealne artrodeze. Sve imaju jasne indikacije i nijedna od njih nema prednost nad ostalima. U skladu sa etiopatogenezom bolesti prevencija je jednostavna: nosenje udobne obuce. PR Projekat Ministarstva nauke Republike Srbije, br. 41004
    Type of Medium: Online Resource
    ISSN: 0354-950X , 2406-0887
    URL: Article
    DOI: 10.2298/ACI1103107B
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2011
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