Arthroscopic treatment of acromioclavicular dislocation

A thorough understanding of biomechanical function of both acromioclavicular (AC) and coracoclavicular (CC) ligaments, stimulated surgeons to repair high-grade AC dislocation using arthroscopic technique. This technique necessitates a clear understanding of shoulder anatomy, especially of the structures in proximity to the clavicle and coracoid process and experiences in arthroscopic surgery. The follow case describes an arthroscopic technique used to treat AC dislocation in young man 30 years old, who suffered an injury at right shoulder. Results were similar to those obtained using open surgery and this encouraged us to continue utilization of this method. As a conclusion, arthroscopic treatment of AC separation is one of the best options as surgical treatment. Early results suggested that immediate anatomic reduction of an acute AC separation usually provides satisfactory clinical results at intermediate-term follow-up

Open versus arthroscopic surgery in acromioclavicular separation

Acromioclavicular separation is a very serious injury at the level of shoulder. Lesion of the acromioclavicular joint is a usual clinical condition because of its superficial situation. It is often involved in trauma of the shoulder girdle. Rockwood classification involves VI types of modifications. First three types are treated conservatively, type IV to VI surgically. Arthroscopic techniques, lead to same middle and long-term results as open surgery. Arthroscopic procedures have theoretical advantages of no deltoid disruption and may help the surgeon to diagnose and treat associated lesions such as rotator cuff ruptures. More recently, arthroscopic surgeries for fresh and/or chronic acromioclavicular disjunctions were proposed. We analyzed 13 cases of acromioclavicular separation: 7 cases were treated with open surgery and 6 arthroscopically using tightrope, or dog bone button

Surgical Approaches for Total Knee Arthroplasty

Total knee arthroplasty surgery is a current practice in orthopedic surgery. The success of this intervention consists in part in the realignment of the lower extremity’s anatomical axis, adequate implant orientation and design, good implant fixation, proper soft tissue balancing, and stability. A good exposure also allows optimal placement of the components. Our preferred approach is the median parapatellar approach in most cases. However, the orthopedic surgeon may face anatomical variants associated with knee types that may complicate the classic approach. We are reviewing multiple surgical approaches also used by us in our clinic in total knee arthroplasty, as well as additional techniques in these surgical approaches. The MIS approach can be used in many cases to reduce pain and speed the healing process. All of the total knee arthroplasty approaches are detailed with anatomical illustrations along with advantages and disadvantages of each. The ultimate goal is to restore knee function as quickly as possible and to preserve the anatomical integrity of the joint

Structural Features of Old Growth Forest from South Eastern Carpathians, Romania

Background and Purpose: Romania’s forests are of globally significant value due to their natural characteristics, as similar forests in some other parts of the world have been lost forever. These types of forests, so-called "virgin" and "quasi-virgin (old growth)" forests, are also identified in the Buzau Mountains, which are part of the Eastern Carpathians in Romania (Curvature Region). Materials and Methods: To study and understand the structure and dynamics of primeval forest, four permanent one-hectare research plots were installed in the Penteleu Mountains, part of the Buzau Mountains. All trees with a diameter at breast height (DBH) greater than 80 mm were measured and their main dendrometric characteristics (DBH, height and social position) registered. The forest structure was analysed by fitting different theoretical distribution functions (beta, gamma, gamma 3P, gamma 3P mixt, loglogistic 3p, lognormal 3P and Weibull 3p). The structural homogeneity of the permanent research plots was tested using the Camino index (H) and Gini index (G). Results: For the smaller DBH categories, Norway spruce was relatively shorter in height, but with increasing DBH, the heights of Norway spruce exceeded those of European beech. Stand volume varied between 615 and 1133 m3 per hectare. The area of maximum stability where we encountered the lowest tree height variability was recorded between the 60 cm and 100 cm diameter categories. The Lorenz curve and the Gini index indicated that the studied stands have high structural biodiversity. Conclusions: The results showed that the studied forests have an optimal structural diversity, assuring them a higher stability and multifunctionality. Thus, these forests are models for managed forests

Acute Achilles tendon rupture: percutaneous tenorrhaphy

Introduction. Acute injury of Achilles tendon represents 20% from large tendon ruptures and the incidence is 11-37 per 100 thousand people (by Park et al. 2020). Case presentation. A 43-year-old man, after a sprint, heard a crack and a sharp pain in his right ankle, on the posterior part a day ago. He went directly to the Clinical Hospital of Traumatology and Orthopedics. He was clinically examined where it was determined swelling of the ankle region and 1/3 of the lower back of the right leg, erasing the Achilian contour, the foot is moved sideways. Palpation of the Achilles tendon diastase. Thomson sign - positive on the right. The sonographic examination determined the Achilles tendon tears with a diastase of 4 cm. The patient was recommended surgery to repair the rupture of the Achilles tendon by percutaneous tenorrhaphy. An informed agreement was obtained after explication of the risks and benefits of the surgical treatment. Surgery was made with spinal anesthesia and fixing sterile zone, the distal and proximal ends of the Achilles tendon were drawn with a sterile marker from the visually determined and palpable injury on the skin. Percutaneous sutures were applied after Cuneo in two rows at the proximal end and one row at the distal end, through two mini-incisions, the opposite ends were adapted on the lateral and medial edge, the foot in the equine (hyperflexion), thus the final ligation of the threads was achieved. Applying the dressing. The final step is followed by the application of the leg immobilization with the foot in the equine on the right. Simple evolution of the postoperative period. After 6 weeks of immobilization, the patient starts rehabilitation. Discussion. Fresh Achilles tendon injury needs to be diagnosed primarily as early as possible, with the use of sonographic examination to confirm the clinical diagnosis allowing us to perform minimally invasive treatment such as percutaneous tenorrhaphy. Conclusion. Achilles tendon is the largest and strongest tendon of the human body and its usual injury is caused by recreational activity. Early establishing the diagnosis of Achilles tendon injury permitted primary repairing this anatomical structure by minimally invasive technique

CoRoLa Starts Blooming – An update on the Reference Corpus of Contemporary Romanian Language

This article reports on the on-going CoRoLa project, aiming at creating a reference corpus of contemporary Romanian (from 1945 onwards), opened for online free exploitation by researchers in linguistics and language processing, teachers of Romanian, students. We invest serious efforts in persuading large publishing houses and other owners of IPR on relevant language data to join us and contribute the project with selections of their text and speech repositories. The CoRoLa project is coordinated by two Computer Science institutes of the Romanian Academy, but enjoys cooperation of and consulting from professional linguists from other institutes of the Romanian Academy. We foresee a written component of the corpus of more than 500 million word forms, and a speech component of about 300 hours of recordings. The entire collection of texts (covering all functional styles of the language) will be pre-processed and annotated at several levels, and also documented with standardized metadata. The pre-processing includes cleaning the data and harmonising the diacritics, sentence splitting and tokenization. Annotation will include morpho-lexical tagging and lemmatization in the first stage, followed by syntactic, semantic and discourse annotation in a later stage

Management of nonunion after an old – neglected ankle fracture in diabetic patient; case report

Ankle fractures represent 9% of fractures. Even if it is a relatively usual fracture, the presence of diabetes makes treatment more difficult and rate of complications is higher than in the rest of population. The incidence of ankle fractures increased in the last half century. Many studies from SUA, England, Sweden and Finland suggest that the epidemiology of ankle fractures continues to change as populations age, up to the age 60 of years in men and above age of 50 years in women. Two-thirds of fractures are isolated malleolar fractures, bimalleolar fractures occur in one-fourth of patients and trimaleolar fractures occur in the rest of them. We present a case of 60 years old women with non-insulin dependent diabetes for 22 years who sustained a fracture of ankle. Her first presentation at doctor was after 4 months after injury and surgical treatment occurred after 8 months after the injury. She was operated using an external fixator. Despite the fact the treatment was delayed, the evolution of lesion was good and patient could regained normal gate

Arthroscopic treatment for calcific tendinitis; a case report

Calcific tendinitis is a common cause of shoulder pain, peaking in the fourth and fifth decades of life. The excruciate pain; especially during the night is the symptom who brings patient to the doctor. In many cases conservative treatment is the best choice. Sometimes it doesn’t work and is necessary operative treatment. It is presented a case of 60 years old women who had calcific tendinits for several years and accused pain few months with absence of improvement after conservative treatment. The patient was treated surgically with removal of calcium deposit arthroscopically. After surgery, pain relief was dramatic and movement increased rapidly. Results were very good with no complications. As a conclusion, arthroscopic evacuation of calcific deposit could be considered the best solution for patients whose symptomatology fail to improve after conservative treatment