Author archives

Razvan ENE

Department of Orthopedics and Traumatology, Emergency University Hospital,
Bucharest, Romania

Latest posts by Razvan ENE (see all)

Articles signed on MÆDICA, JCM:

Rationale for Management of Frontal Sinus Fractures

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MÆDICA - a Journal of Clinical Medicine | Vol. 8, nr. 4, 2013

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What is plagiarism

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Rationale for Management of Frontal Sinus Fractures

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ABSTRACT

The optimal treatment of frontal sinus fractures remains controversial. Multiple treatment options and algorithms have been proposed by multiple specialties throughout the years; however, the optimal method of frontal sinus repair has yet to be discovered. Overwhelming complications such as meningitis, encephalitis or brain abscess are quite uncommon nowadays. Nevertheless, late development of invasive mucoceles is not a rarity and therefore long-term follow-up is mandatory.

Keywords: frontal sinus fractures, frontonasal duct, posttraumatic mucocele

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Methods of Investigating Metastatic Lymph Nodes in Head and Neck Cancer

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MÆDICA - a Journal of Clinical Medicine | Vol. 8, nr. 4, 2013

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What is plagiarism

Plagiarism’s meaning comes from the Latin word ‘plagiarius,’ which means to kidnap. When someone uses the work of another writer or artist without properly citing the source or giving credit, that’s plagiarism. [...]

Committe on Publication Ethics

A forum for responsible and ethical research publishing – Code of Conduct and Best Practice Guidelines for Journal Editors.

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Methods of Investigating Metastatic Lymph Nodes in Head and Neck Cancer

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ABSTRACT

When dealing with patients who have head and neck cancer - squamous cell carcinoma and have clinically N0 neck disease it is very difficult to assess the real extension of the malignant proccess. This is why several techniques are curently in use to determine the actual TNM clasiffication for each patient in order to apply best suited therapy management. Up until today the staging of the neck has been done by using a combination of the physical exam and conventional imaging studies. Recent studies and research have tried to determine weather the use of sentinel lymph node biopsy is a more reliable tool in predicting occult metastasis in cancer patients with clinically N0 neck disease. There are no guidelines in this matter and as such the use of the sentinel lymph node detection technique is yet to be used on a routine basis. The authors are trying to assess the benefits of different paraclinical investigation regarding the improvement of over-all survival rates in patients with T1/T2 squamous cell carcinoma of the head and neck and N0 neck disease.

Keywords: clinically N0 neck disease, conventional imaging, sentinel lymph node

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Treatment of Anterior Instability of the Shoulder

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MÆDICA - a Journal of Clinical Medicine | Vol. 10, nr. 2, 2015

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What is plagiarism

Plagiarism’s meaning comes from the Latin word ‘plagiarius,’ which means to kidnap. When someone uses the work of another writer or artist without properly citing the source or giving credit, that’s plagiarism. [...]

Committe on Publication Ethics

A forum for responsible and ethical research publishing – Code of Conduct and Best Practice Guidelines for Journal Editors.

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Treatment of Anterior Instability of the Shoulder

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ABSTRACT

Objectives: The aim of this study is to compare the long term results of the treatment of anterior instability of the shoulder.

Material and method: The study included a total of 37 patients diagnosed with anterior instability of the shoulder, on the basis of clinical data (anamnesis, physical examination) and imaging (X-rays, MRI examination), operated in the Department of Orthopedics and Traumatology – Emergency University Hospital Bucharest, Romania, between 2009-2012. They were divided in 3 groups, according to the surgical technique used (open Bankart, arthroscopic Bankart and Bristow procedure), and the results were evaluated at 2 years postoperatively using Rowe and Constant scores. Statistical analysis was performed using one-way ANOVA test.

Results: There were no intra- or postoperative complications. No reluxations were recorded. Statistically significant differences (F> Fcrit; p <0.05) of the Constant score were recorded between the three groups on the range of movement variable, especially external rotation, their mean values being higher in the group treated arthroscopically compared to the other two groups.

Conclusions: Arthroscopic shoulder stabilization surgery gives the best long time results in terms of functional recovery of the shoulder, objectified by Constant and Rowe scores. Data from the literature show a higher rate of recurrence after arthroscopic interventions, suggesting that the indications of this technique still requires further clarifications. It’s required a more precise preoperative evaluation, in order to detect any lesions associated with Bankart lesion (bone defects of the anterior rim of glenoid, Hill-Sachs lesion, capsular laxity, rotator cuff tears, long head of biceps injuries). Mastering a surgical techniques is not always enough in order to obtain the best results. The choice of proper surgical technique for each patient, however, can significantly reduce the recurrence rate of shoulder dislocation.

Keywords: anterior instability of the shoulder, Bankart lesion, shoulder arthroscopy

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Negative pressure, a “solution” in the treatment of infected knee prosthesis?

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MÆDICA - a Journal of Clinical Medicine | Vol. 10, nr. 1, 2015

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Negative pressure, a “solution” in the treatment of infected knee prosthesis?

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ABSTRACT

Introduction: Negative-pressure wound therapy is a therapeutic technique that uses a vacuum dressing in order to promote healing in acute or chronic wounds. The continued vacuum draws out fluid from the wound and increases blood flow to the area.

The aim of this study was to establish the effectiveness of negative pressure therapy increasing this way the chances of rehabilitation after knee prosthesis infections.

Material and method: 11 patients with septic complications after total knee joint replacement were involved into this study, from the Department of Orthopaedic and Traumatology of Bucharest Emergency University Hospital. In all of the cases negative pressure wound treatment was applied. The surgical approach was chosen according to the surgeon’s preferences or along the pre-existing surgical approach.

Results and discussions: Time from the knee arthroplasty to the clinical and biological manifestation of septic complications was about 35 days with limits between 21 and 42 days. In most cases we managed to keep the implant, the outcome obviously being conditioned by using the negative pressure. Knee infections are still a hazardous problem in orthopedic surgery. Negative-pressure system increased the granulation tissue formation and the local blood flow and enhanced the bacterial clearance function.

Conclusions: The clinical outcome in our cases indicates that the Negative-Pressure Wound Therapy can be a valuable contribution to the treatment of knee joint infections.

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