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Introducere Obiectivul studiului este compararea rezultatelor artroplastiei de şold necimentate prin abord mini-invaziv versus tehnica clasică. Materiale şi Metodă 32 pacienţi cu coxartroză, la care s-a practicat artroplastie primară unilaterală totala necimentată, folosindu-se acelaşi tip de implant; 12 au fost operaţi prin abord miniinvaziv, restul prin abord standard; operaţiile au fost efectuate de aceeaşi echipă operatorie, datele au fost culese retrospectiv, radiografiile luate in considerare au fost cele postoperatorii. Rezultate Nu s-au constatat complicaţii locale, iar complicaţiile generale au corespuns datelor citate in literatură. În grupul pacienţilor cu abord mini-invaziv au fost ameliorări în ceea ce priveşte durerea postoperatorie, uzul de analgezice opioide, recuperarea mobilitaţii. Nu au fost diferenţe semnificative între cele două grupuri din punct de vedere al pierderii de sânge intraoperator, volumului de sânge transfuzat, duratei medii a internării. Discuţii Există un trend general spre chirurgia minim invazivă, trend observat şi în chirurgia endoprotetică a şoldului. Problemele ce pot fi întâlnite în implementarea acestor tehnici sunt legate de curba de învăţare şi apariţia unor complicaţii legate de erorile tehnice secundare. Printre acestea amintim poziţionarea defectuoasă a componentelor endoprotetice, risc crescut de leziuni vasculonervoase, timp operator crescut, etc. Concluzii Pe termen scurt, rezultatele artroplastiilor efectuate prin abord mini-invaziv oferă rezultate comparabile cu abordul standard, o mai mare satisfacţie a pacienţilor, dar, medicul operator trebuie să aibă experienţă, iar cazurile trebuie atent selectate. [ABSTRACT FROM AUTHOR]

The aim of the study was to evaluate the results of minimally invasive treatment of trochanteric fractures with the use of intramedullary nails. Patients and methods. From September 2010 to September 2012 we treated 21 patients with pertrochanteric fractures by a minimally invasive technique using the Gamma 3 (Stryker, Howmedica) nail. There were 13 females and 8 men with a mean age of 74.1 years, ranging from 58 to 88 years. Fractures were classified as being stable (AO type 31-A1) in 5 cases and unstable (AO type 31-A2 and A3) in the rest of 16 cases. Patients were reviewed at 6 weeks and 3 months postoperatively. Results. Mean surgery time was 46.8 minutes and mean hospital stay was 14.9 days. No patients required blood transfusions. During the hospital stay all the patients were mobilized with weight bearing as tolerated. All patients were available for review at 6 weeks, and 2 were lost to the 3 months follow up. 16 patients regained the previous level of activity. Conclusions. This minimally invasive technique using a gamma nail device for pertrochanteric fractures gives reliable good results with excellent preservation of hip function. [ABSTRACT FROM AUTHOR]

The aim of the study is to retrospectively review the patients admitted and treated in the "Alexandru Ră dulescu" Orthopedics and Traumatology Clinic, Cluj-Napoca for an anterior cruciate ligament tear over a 2-year period and document the intra-articular lesions found at arthroscopy as well as the treatment used for these associated lesions. Patients and methods. The case records of 88 patients operated for anterior cruciate ligament tear over a period of 2 years were reviewed. There were 67 males and 21 females with a mean age of 28.9 years, ranging from 14 to 49 years. After recording the patient demographics, we documented all the intra-articular lesions found during knee arthroscopy, as well as all procedures undertaken concomitant with the ACL reconstruction. Results. 50 of the 88 patients (56.8%) had associated intra-articular lesions at the time of anterior cruciate ligament reconstruction. The most common injury found was a meniscus tear, 48 patients (54.5%) had a meniscal pathology at the time of ligament reconstruction, medial meniscus being the most frequent injured one, found in 37 patients. Meniscectomy and meniscus suture were the procedures performed for these lesions, meniscectomy being more frequent. Chondral defects were the next associated injuries found with an incidence of 15.9% of the cases. The medial side of the knee was the most common site of chondral pathology. Conclusions. ACL tears are frequently associated with other intra-articular lesions, especially medial meniscus tears and chondral defects affecting the medial compartment. Such pathology most often needs surgical attention during the anterior cruciate ligament reconstruction. [ABSTRACT FROM AUTHOR]