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Golubovic I.,Clinical Center Nis | Stevanovic G.,University of Niš | Stojiljkovic P.,Clinical Center Nis | Golubovic Z.,Clinical Center Nis | And 5 more authors.
Acta Facultatis Medicae Naissensis | Year: 2012

72 years-old woman suffered an open fracture of the right tibia, as a pedestrian, when the bus tires crossed over the right foot. She was immediately transported to the Clinical Center Niš and following clinical examination, the amputation of the lower leg was advised due to extensive injury. On admission to the hospital (Clinic for Orthopedics and Traumatology), after resuscitation, arteriography of the blood vessels of the right leg was performed. Spasm of blood vessels of the right leg below the fracture was noted, but the circulation in the distal part of the lower leg and foot was preserved. After removing temporary immobilization and bandage of the lower leg, a large wound was noticed, from the toes to the popliteal crease. Primary treatment of the wound was done and tibial fracture was stabilized with external fixation (with convergent orientation of the pins). Almost the whole wound was left open, while the vital structures of the leg (the main blood vessels and nerves) were covered with local soft tissues that are adapted by situation sutures. Due to the large soft tissue destruction on the right lower leg and diabetic angiopathy, the patient was sent to special orthopedic hospital "Banjica" in Belgrade. After repeated wound debridements, external skeletal fixator was removed and the Ilizarov apparatus was placed. Soft tissue defect was covered by skin graft. In the postoperative period, patient was regularly dressed. Eight months later, the fractured tibia healed and the Ilizarov apparatus was removed. The patient was referred for rehabilitation. Following rehabilitation, patient returned to her work and everyday activities.


Kherfani A.,Institute of Orthopedics | Amri K.,Institute of Orthopedics | Hachem M.,Institute of Orthopedics | Abid L.,Institute of Orthopedics | And 2 more authors.
Pan African Medical Journal | Year: 2014

Authors describe the case of a patient with breast cancer and multiple myeloma as the second metachronous disease responsible for spinal cord compression. Synchronous occurrence of bone marrow breast cancer disease and multiple myeloma has not been described in the literature, as in this case. By presenting this case, we point to possible association between both diseases and the possible factors involved in the development of second malignant disease. © Abdelhakim Kherfani et al.


Benegas E.,Institute of Orthopedics | Neto A.A.F.,Institute of Orthopedics | Teodoro D.S.,Institute of Orthopedics | Da Silva M.V.M.,Institute of Orthopedics | And 3 more authors.
Revista Brasileira de Ortopedia | Year: 2012

Lipoma arborescens is a rare intra-articular disease that is usually monoarticular and is characterized by extensive proliferation of the synovial villi and hyperplasia of the subsynovial fat. The synovial tissue is progressively replaced by mature fat cells in the synovial membrane. The present study reports a case of a rare condition of lipoma arborescens that was simultaneously intra-articular (glenohumeral joint) and in the subacromial-subdeltoid bursa, in association with a torn supraspinatus tendon. The clinical, histological and radiographic presentations and treatment are discussed here. The description of this case includes radiographic and magnetic resonance evaluations and pathological examination. Although lipoma arborescens is a rare condition, it should be taken into consideration in cases presenting synovial hyperproliferation and synovial fat replacement.


PubMed | Institute of Orthopedics
Type: | Journal: The Pan African medical journal | Year: 2015

Authors describe the case of a patient with breast cancer and multiple myeloma as the second metachronous disease responsible for spinal cord compression. Synchronous occurrence of bone marrow breast cancer disease and multiple myeloma has not been described in the literature, as in this case. By presenting this case, we point to possible association between both diseases and the possible factors involved in the development of second malignant disease.

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