Browsing by Author "Gluščević, Boris (6506291701)"

Background/Aim. There are a few research papers in Serbia that report on the clinical results of scarf osteotomy (SO) and its long-term effects. The aim of this retrospective study was to evaluate the efficacy of SO in hallux valgus (HV) deformity correction, as well as the degree of recurrence and its possible causes. Methods. The study included 48 patients (52 feet) who underwent SO. The average follow-up time was 103.9 (63–156) months. In order to clinically evaluate the results, the American Orthopedic Foot and Ankle Society (AOFAS) scale and the Visual Analog Scale (VAS) of pain were used. In order to radiographically determine the degree of deformity, preoperative and postoperative radiographs of the feet were taken in the standing position, and the following parameters were determined: HV angle (HVA), intermetatarsal angle, distal metatarsal articular angle, and sesamoid position. Results. The AOFAS scores increased from 19 (5–45) points preoperatively to 92 (54–100) points at the time of the latest follow-up examination (p < 0.001). The VAS values significantly improved from 10 (8–10) preoperatively to 0 (0–6). The average HVA correction was 24.8°. The recurrence rate in patients in whom the HVA was greater than 20° was 26.9%. Conclusion. Although SO is a proven procedure for the correction of HV, long-term results still show a relatively high rate of recurrence. © 2023 Inst. Sci. inf., Univ. Defence in Belgrade. All rights reserved.

Introduction/Objective Since tibial shaft is a common location of opened and closed tibial fractures, it is very important to determine the best method of treating these fractures. Our objective was to assess whether the Ilizarov technique is appropriate in terms of complications, outcomes, and pain reduction in treatment of patients with tibial shaft fracture. Methods Retrospective analysis included all consecutive patients with tibial shaft fracture treated with the Ilizarov technique in the period from January 2013 to June 2017 at the Banjica Institute for Orthopaedic Surgery, Belgrade, Serbia. Demographic and clinical data on patients were collected. Pain was assessed using visual analogue scale of pain. Two models of uni-and multi-variate linear regression analysis were performed. Results The study showed that the overall rate of complications was low, and that hypertension, administration of antibiotics, and reoperation prolonged fixation. Also, severe fractures and longer procedure time delay mobilization. Significant reduction of pain was observed. Conclusion The Ilizarov technique is a safe and reliable method in the treatment of patients with tibial shaft fractures and is followed by pain reduction, overall improvement of functioning, good outcomes, and is not commonly associated with complications. © 2020, Serbia Medical Society. All rights reserved.

Background/Aim. Total knee arthroplasty in patients with rheumatoid arthritis is an effective method of eliminating pain and improving functional status, but it is associated with a number of unique challenges. The aim of this study was to evaluate the clinical and radiographic outcomes of total knee arthroplasty, as well as patient satisfaction, in this series of patients with rheumatoid arthritis. Methods. Between January 2001 and 2012, 108 total knee arthroplasties in 78 patients with rheumatoid arthritis were performed, utilizing a posteriorstabilized prostheses. The average age of the patients was 58 ± 12.4 years, and 88% were females. Median follow-up of patients was 80 months with interquartile range of 34 months (min-max: 36-132 months). Results. Average Knee Society score improved from preoperative 18 ± 11.4 to postoperative 83 ± 3.5, and Functional Knee Society score from 21 ± 9.9 to 50 ± 5. 9. Western Ontario and McMaster Universities Arthritis (WOMAC) knee injury and osteopaedic outcome scores improved from 23 ± 6.4 to 69 ± 4.6 postoperatively. In 25 (23.14%) knees radiolucent lines of less than 2 mm were found and they were not progressive. Survival rate excluding deep infection was 99.1%. Conclusion. Total knee arthroplasty is an effective procedure of treatment of damaged knee joint in patients with rheumatoid arthritis. © 2017, Institut za Vojnomedicinske Naucne Informacije/Documentaciju. All rights reserved.