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Abstract

Interventions in the field of orthopedics and traumatology involve more and more the frequent use of osteosynthesis materials and prostheses. Therefore, an increasing number of patients live with these implants, having an increased risk in comparison to the general population to develop complications. Although technological developments have brought this change for the better, it must not be forgotten that these foreign materials come with certain risks, the most feared being the associated infections.

For this article, we conducted an epidemiological study on infections identified in patients treated in the Orthopedics and Traumatology Department of University Emergency Hospital in Bucharest, from 01.01.2016 to 01.06.2019. We were able to extract data about patients without neglecting their confidentiality.

The information sought, primarily involved the pathogen causing the infection and its antibiogram, but at the same time we tried to build a more accurate history of each patient in order to determine the cause of infection and the risks posed by various associated pathologies. During these 4 years we were able to identify 139 patients who suffered an infection in the musculoskeletal system. In most cases we identified unimicrobial infections, but there were 7 cases in which two pathogens were identified.

Abstract

The aim of this retrospective study was to characterize the acute pain management in patients admitted to Department of Traumatology and to identify the efficacy of analgesic pharmacotherapy. The study involved 83 patients divided into two groups: 52 patients (63%) in Group 1 underwent operation; the remaining 31 patients (37%) in Group 2 had conservative treatment. The characteristics of the patients (diagnosis, analgesic therapy, age, comorbidities, drugs used during hospitalisation, analgesic efficacy) were obtained from electronic database and medical reports by the hospital. Therapy during the first seven days of hospitalisation and the recommended therapy after discharging home were analysed. Records of drug adverse reactions during the whole hospitalisation were monitored. Metamizol was the most frequently prescribed as a primal analgesic. Adequate analgesia solely by metamizol was reached in 20% of all patients; the remaining 80% required increased doses or combination with another analgesic. Metamizol was combined mainly with tramadol, morphine or pethidine. Our study proved metamizol to be an effective analgesic. No clinical manifestation of agranulocytosis was observed in this study.

Abstract

The current socio-economic development has improved the standard of living of the general population. Technological evolution has led to the use of an increasing number of motor vehicles. Associated with the growing violence observed globally, orthopedic surgery involves frequent use of osteosynthesis materials and prostheses. Therefore, an increasing number of patients live with these implants, having a higher risk, compared to the general population, to develop complications. Although technological developments have increased the quality of life, it must not be forgotten that these foreign materials come with certain risks, the most feared being the associated infections.

We conducted an epidemiological study on infections identified in patients treated in the Orthopedics and Traumatology Department of Bucharest Emergency University Hospital, from 01.01.2016 to 01.06.2019. We were able to extract data about patients without neglecting their confidentiality.

The information sought, primarily involved the pathogen causing the infection, but at the same time we tried to build a more accurate history of each patient in order to determine the cause of infection and the risks posed by various associated pathologies. During these 4 years we were able to identify 139 patients who suffered an infection in the musculoskeletal system. In most cases we identified mono-microbial infections, but there were 7 cases in which two pathogens were identified.

1 Romanian Journal of Orthopaedic Surgery and Traumatology, Volume 1, Issue 1, January-June 2018. pp: 1 doi:10.2478/rojost-2018-0001 EDITORIAL ROMSOS, SROA © 2018 Romanian Journal of Orthopaedic Surgery and Traumatology (ROJOST), a new journal in the Romanian academic environment Romanian Journal of Orthopaedic Surgery and Traumatology (ROJOST) is an international, bi- annual newly established journal of the Romanian Society of Musculoskeletal Oncology (ROMSOS) and the Romanian Society of Arthroplasty (SROA), which aims to become the most important source

Abstract

Due to its anatomical position, traumatic lesions of the pancreas are rare and difficult to diagnose. Diagnosis time is paramount as an increase in duration translates into an increase in morbidity and mortality. Duct lesions are hard to identify on CT, ERCP being the investigation of choice but it is difficult to obtain as it requires highly specialized staff and equipment. Intraoperative macroscopic and palpatory evaluation of the pancreas in a trauma patient should be elective no matter what other lesions are present. The treatment is mainly dictated by this evaluation and is defined as it follows: stage I and II usually require a conservative approach; stage III, IV, and V usually imply resection of the pancreas although recent advances in conservative management have been made through ERCP and pancreatic duct stenting. In these stages, intraoperative evaluation should ensure the ampulla is intact if the head of the pancreas is not resected. Serum amylase and lipase levels do not offer a concrete direction towards a pancreatic lesion. Currently, there is no standard surgical treatment for these stages thus making intraoperative evaluation mandatory. One must remember that post-traumatic pancreatitis exists, which becomes apparent days after the accident.

57 Romanian Journal of Orthopaedic Surgery and Traumatology, Volume 2, Issue 2, July-December 2019. pp:57-58 doi:10.2478/rojost-2019-0012 ROMSOS, SROA © 2019 EDITORIAL The importance of the Authorship and conflicts of interest statement and Copyright forms in the editorial policy of Romanian Journal of Orthopaedic Surgery and Traumatology Romanian Journal of Orthopaedic Surgery and Traumatology (ROJOST) is an open access, peer-reviewed online and printed journal that publishes articles related to clinical and research studies of orthopaedic surgery and

21 Romanian Journal of Orthopaedic Surgery and Traumatology 2018; Special Issue 1 ROMSOS, SROA © 2018 SURGICAL OPTIONS IN PERIPROSTHETIC FRACTURES doi: 10.2478/rojost-2018-0032 D. Popescu1, R. Nedelcu1, Șt. Trifu1, C. Cîrstoiu1,2 1Orthopedics and Traumatology Department, University Emergency Hospital, Bucharest, Romania “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania Purpose. The periprosthetic fractures are a more and more often encountered type of pathology, in which the main problem is the indication for surgery. The most important

17 Romanian Journal of Orthopaedic Surgery and Traumatology 2018; Special Issue 1 ROMSOS, SROA © 2018 THE INDICATION OF RESECTION-RECONSTRUCTION WITH TUMOR PROSTHESIS FOR THE YOUNG PATIENT WITH OSTEOSARCOMA doi: 10.2478/rojost-2018-0028 A. Cursaru¹,², A.G. Lupu¹,², D. Anghelescu¹, G. Mardare¹, R. Ene¹,², C. Cîrstoiu¹,² 1 University Emergency Hospital, Bucharest,Romania 2”Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania Introduction. The osteosarcoma represents the most frequently encountered primitive malignant bone tumor, representing 30

8 Romanian Journal of Orthopaedic Surgery and Traumatology 2018; Special Issue 1 ROMSOS, SROA © 2018 PERIOPERATIVE PAIN MANAGEMENT IN PRIMARY BONE TUMORS doi: 10.2478/rojost-2018-0019 A. Bratu1,2, Z. Panti2,3, A. Comanelea1, R. Ene2,3, C. Cîrstoiu2,3 1Anesthesiology and Intensive Care Department, University Emergency Hospital, Bucharest, Romania 2Orthopedics and Traumatology Department, University Emergency Hospital, Bucharest, Romania 3“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania Introduction. The increasing number of tumor prosthesis

12 Romanian Journal of Orthopaedic Surgery and Traumatology 2018; Special Issue 1 ROMSOS, SROA © 2018 THE PROGNOSTIC ROLE OF IMMUNOHISTOCHEMISTRY IN PRIMARY BONE TUMORS doi: 10.2478/rojost-2018-0023 Z. Pánti1,2, R. Ene1,2, M. Nica1,2, M. Popa1,2, M. Pleniceanu1, M. Cîrstoiu2,3, C. Cîrstoiu1,2 1Orthopedics and Traumatology Department, University Emergency Hospital, Bucharest, Romania 2“Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania 3Obstetrics and Gynecology Department, University Emergency Hospital, Bucharest, Romania In the last decades