Solitary bone cyst on heel, surgical treatment

State University of Medicine and Pharmacy ”Nicolae Testemițanu”, Republic of Moldova, Clinical Hospital of Orthopedics and Traumatology, Chișinău, Republic of Moldova, Al VIII-lea Congres Naţional de Ortopedie și Traumatologie cu participare internaţională 12-14 octombrie 2016Objectives. Solitary bone cyst on heels Represents a pseudotumoral pathology with asymptomatic onset. There are controversial opinions – to use conservative treatment in these patients, but some authors believe that during the consolidation of pathological fracture, the given could regress. Material and methods. 8 patients were included in our study: 6 females and 2 males; age 15-22 – 7 patients, 1 patient – 35 y.o. All the patients were treated surgically – marginal and parietal intracavitary resection followed by substitution of remaining defect with cortical allograft cortical. Results. In the postoperative and distant period in 7 cases the recovery process was completed with good results. At 35 years old patient during postoperative evolution was developed purulent process – removing of allograft, antiseptic treatment. Later, in ЦИТО was performed the endoprosthetic operation of calcaneus by the method S.T.Zaţepin, satisfactory result. Conclusions. Surgical interventions include various procedures: endoscopic curettage, cryodestruction or electrocautery of cyst walls, osteoplasty of outstanding defect, sealing the remaining cavity with carbon or bioceramic substances. Independently of the treatment methods used, often relapses occur. According to the experience of many authors, including our, we consider that currently the safest method of treatment is surgical intervention: removal of pathological outbreak through different types of resection, and osteoplasty of remaining defect

Alloplasty becomes saving in some difficult cases of reconstructive surgery of the locomotor system

State University of Medicine and Pharmacy ”Nicolae Testemițanu”, Republic of Moldova, Clinical Hospital of Orthopedics and Traumatology, Chișinău, Republic of Moldova, Al VIII-lea Congres Naţional de Ortopedie și Traumatologie cu participare internaţională 12-14 octombrie 2016Objectives of study During surgical interventions on osteoarticular apparatus appear difficult cases when highly professional orthopedic doctors are facing unusual tactical and technical hardships, unclear safety prognosis of a rationally planned treatment. As usually, surgeons tend to choose the most appropriate method in given circumstances, and even invent new surgical procedures, but alloplasty still remains a saving method. Material and methods According to our experience, alloplasty seemed to be necessary during following operations: removing by resection of tumors and pseudo tumors, bone defects and cervico-cephalic endoprosthesis in 3rd age patients with femoral neck fracture in which the intramedullary channel is enlarged. We have proposed a stable fixation of prosthetic rod in channel by application of a cortical graft in cases of purulent complications, bone defects, after sequestrectomy, when the remaining defect is too large and may be substituted by allograft. Results The results were confirmed in 200 patients with these pathologies, operated in our clinic. Alloplastic grafting contributed favorably to fix, restore, and maintain the integrity of the affected bone, substitution of remaining defect and creation of prodigious medical and biological conditions in local osteogenesis and their perfect integration. Conclusions In selection of the rational treatment in difficult situations, we were based on our experience in osteoarticular alloplasty during last 50 years. Positive results were obtained in 95.2% of cases. Retrospective analysis of the results of treatment using given method shows the absence of better alternative regenerative treatment

Tratamentul chirurgical în fracturile diafizare ale antebrațului: protocol clinic național PCN-385

Secția Chirurgia Mâinii, IMSP Spitalul Clinic de Traumatologie și Ortopedie, secția Ortopedie și traumatologie, IMSP Spitalul Clinic de Traumatologie și Ortopedie, secția consultativă, IMSP Spitalul Clinic de Traumatologie și OrtopedieAcest protocol a fost elaborat de grupul de lucru comun al IMSP Spitalul Clinic de Traumatologie şi Ortopedie şi Catedrei de Ortopedie şi Traumatologie a USMF „Nicolae Testemiţanu” pentru elaborarea şi implementarea Protocoalelor clinice naţionale în traumatologie şi ortopedie: Protocolul naţional este elaborat în conformitate cu ghidurile internaţionale actuale privind fracturile diafizare ale antebrațului şi va servi drept bază pentru elaborarea protocoalelor clinice instituţionale. La recomandarea MSMPS RM, pentru monitorizarea protocoalelor instituţionale pot fi folosite formulare suplimentare, care nu sunt incluse în protocolul clinic naţional