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Outcomes and Treatment of Malignant Tumors of Long Bones

Abstract

Introduction. With the advances in chemotherapy, the life expectancy of patients with malignant tumors of bones begins to rise and creates the opportunity for a more conservative treatment of such cases. The main complications after using reconstruction with bone graft are represented by mechanical failure, due to the lack of strong fixation, or biological failure of graft integration. Infection is another complication, patients being usually immunosuppressed. The aim of this study was to investigate a retrospective single center experience of surgically treated malignant bone tumors of long bones, respectively oncological, surgical, and functional outcome differences after biological reconstruction. Materials and methods. Between 2007 and 2017, we conducted a retrospective study, with patients from Elias Orthopaedic Department. 70 patients with malignant tumors were treated. Only in 20 cases, resection-reconstruction was possible. Results. Survival rate at 8-year follow up was 35%. Mechanical failure rate was 20%, graft resorption rate was 25%, and infection rate was 15%. Discussion. Primary malignant tumors of bones are very rare, less than 1% of cancer cases, and yet there is no strict rule for treating these patients in specialized centers. Because of the small sample of patients, the heterogeneity of reconstruction methods and multiple types of grafts, this study also had some limitations. The mechanical or biological complication rate is higher in resectionreconstruction cases. Non-unions, fractures and infections are the most common complications.

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The relationship between labor pain management, cortisol level and risk of postpartum depression development: a prospective nonrandomized observational monocentric trial

processes, preterm delivery, low birth weight, and postpartum depressions - the need for interdisciplinary integration. Am J Obstet Gynecol 2005; 193: 1312-1322. doi: 10.1016/j.ajog.2005.02.103 36. Kammerer M, Taylor A, Glover V. The HPA axis and perinatal depression: a hypothesis. Arch Womens Ment Health 2006; 9: 187-196. doi: 10.1007/s00737-006-0131-2 37. Vitoratos N, Papatheodorou DC, Kalantaridou SN, Mastorakos G. “Reproductive” corticotrophin-releasing hormone. Ann N Y Acad Sci 2006; 1092: 310-318. doi: 10.1196/annals.1365

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ACL Surgical Technique — Staying Out of Trouble

Abstract

The incidence of ACL tear and reconstruction has increased over time, and failure of ACL reconstruction is not perfectly defined among surgeons. Atraumatic failure of ACL surgery represents approximately 70% of causes, and occurs in diagnostic errors, technical errors and problems of ACL graft integrations. Regarding surgical technique, we should answer certain questions about our choice of surgery, tunnel position, graft type, graft suture, tensioning the graft, and how we deal with certain incidents or intraoperative accidents. The purpose of this article is to review the current information and trends of ACL reconstruction, and presents some tips and tricks we use in our current practice.

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Medical Use of Finite Element Modeling of the Ankle and Foot

REFERENCES 1. Yu JH, Wang YT, Lin CL. Customized surgical template fabrication under biomechanical consideration by integrating CBCT image, CAD system and finite element analysis. Dent Mater J . 2017. doi: 10.4012/dmj.2016-312. [Epub ahead of print] 2. Rajapakse CS, Kobe EA, Batzdorf AS, Hast MW, Wehrli FW. Accuracy of MRI-based finite element assessment of distal tibia compared to mechanical testing. Bone . 2017;108:71-78. 3. Erhart P, Roy J, de Vries JP, et al. Prediction of Rupture Sites in Abdominal Aortic Aneurysms After Finite Element

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Hospital Resilience: A Recent Concept in Disaster Preparedness

R eferences 1. Roccaforte JD, Cushman JG. Disaster Preparedness, Triage, and Surge Capacity for Hospital Definitive Care Areas: Optimizing Outcomes when Demands Exceed Resources. Anesthesiol Clin. 2007;25:161–77. 2. Braun BI, Wineman NV, Finn NL. Integrating hospitals into community emergency preparedness planning. Ann Intern Med. 2006;144:799-811. 3. Paturas JL, Smith D, Smith S. Collective response to public health emergencies and large-scale disasters: Putting hospitals at the core of community resilience. J Bus Contin Emer Plan. 2010

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The ACL Fixation

;66:344-352. 4. Kurosaka M, Yoshiya S, Andrish JT. A biomechanical comparison of different surgical techniques of graft fixation in anterior cruciate ligament reconstruction. Am J Sports Med. 1987;15:225-229. 5. Milano G, Petersen W, Hoeher J, et al. Fixation; in Siebold, Dejour D, Zaffagnini S(eds), ACL Reconstruction: A practical Surgical Guide, Springer, Heidelberg, 2014. p. 215-266. 6. Deehan DJ, Cawston TE. The biology of integration of ACL. JBJ Surg. 2005;87:895-899. 7. Rodeo SA, Arnoczky SD, Torzilli PA, Hidaka C, Warren

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Perception of Healthy Eating among Romanian Adults

better than cure. Diabetes Metab Syndr Obes . 2016;9:83-89. 15. Badau A, Badau D, Serban C, Tarcea M, Rus V. Wellness integrative profile 10 (WIP10) – an integrative educational tool of nutrition, fitness, and health. J Pak Med Assoc . 2018;68:882-887. 16. Rus VA, Ruta FD, Salcudean M, Tarcea M, Serban C, Avram C, Simion I, Benedek T. Adherence to the DASH-style Diet and the presence of Cardiovascular risk factors in adults from Tirgu Mures, Romania. Journal of Interdisciplinary Medicine . 2018;3:134-140. 17. Manippa V, Padulo C, Laan LN, Brancucci

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The importance of computerized dynamic posturography in vestibular rehabilitation of patients with unilateral peripheral vestibular deficiency

References 1. Furman J.M. - Posturography: uses and limitations. Baillieres Clin Neurol., 1994;3(3):501-513. 2. Mirka A., Black F.O. - Clinical application of dynamic posturography for evaluating sensory integration and vestibular dysfunction. Neurol Clin., 1990;8(2):351-359. 3. Furman J.M. - Role of posturography in the management of vestibular patients. Otolaryngol Head Neck Surg., 1995;112(1):8-15. 4. Luchikhin L.A. - Posturography: efficacy and prospects in Otorhinolaryngology. Vestn

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