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Questions related from Panayot Tanchev
In the past, pelvis and proximal femur correction osteotomies were very often applied to ameliorate the biomechanics of dysplasic hips, not only in childhood, but also in adults. What is the...
26 July 2018 1,442 5 View
Spinal engagement is common. Why not prosthetic infection in patients with Brucellosis? To my knowledge surgeons do not take into consideration this specific infection.
15 November 2016 7,067 8 View
What is right ? To continue with pharmaceutical prophylaxis for fearing DVT or stop (reduce) it to avoid wound complications ?
05 February 2016 416 15 View
Sometimes, It is difficult to differentiate between postoperative hematoma and imminent deep infection the first postoperative days after THA. Early debridement is reported to be very effective if...
03 February 2016 1,603 9 View
Some authors still apply classic casting (Risser, Cotrel, etc.) in cases of progressive infantile scoliosis. Others prefer early surgery. What is your opinion and experience ?
21 October 2015 5,447 21 View
Or just start an ambulatory regime on crutches and let the formation of pseudarthrosis ?
26 July 2015 8,600 29 View
There are still different preferences. What are yours ?
10 July 2015 1,592 7 View
In the last 10-15 years there is a certain trend to the appliaction of this type of hip replacement. In any case, I do not know if the long-term results are satisfactory. In the past, some 30-40...
31 March 2015 8,927 10 View
Is it obsolete today or there is still place for synovectomy in refractory to medications cases ?
30 March 2015 1,507 23 View
Detection of beginning infection in the early postoperative period is important for the adequate treatment ? There are controversies about the issue which are the reliable markers for early...
12 March 2015 1,316 4 View
This is a very rare case, but it happens sometimes. What procedure do you propose?
23 February 2015 7,744 8 View
Some colleagues prefer conservative treatment, while others stabilize the fracture on an emergency base. What is your experience if you have some because this injury is relatively rare and when...
23 February 2015 3,271 11 View
There are some reported data about a trial of this procedure started in Great Britain including several elite hospitals. The results might be ready in 2017. Eventually, positive results could make...
02 February 2015 1,975 4 View
Some surgeons prefer cephalosporins of first or second generation, while other colleagues prefer wider spectrum antibiotics. The dosage and duration also differs in the practice of different...
05 January 2015 631 10 View
The results in the literature are very controversial. One can find some sort of disagreement when comparing clinical results with advertising papers (TV, media, etc.). There is also another...
29 December 2014 3,208 12 View
This issue is very controversially or undiscussed at all in the pertinent literature. On the one hand this kind of surgery may last for hours, and on the other hand this prophylaxis is not...
13 December 2014 8,143 29 View
Is the implant infected or the bone structures it is fixed to ? I believe it could be called "periostitis", "osteitis", " osteomyelitis", "spondylodiscitis", "spondylitis". etc.
05 December 2014 4,668 5 View
This aspect was mentioned in a discussion on psychological, clinical and social characteristics of the complaints of a patient treated surgically for scoliosis. It seems to be an attractive...
05 December 2014 1,461 10 View
Some hospital care standards require pharmacologic DVT prophylaxis for orthopedic operations (even minor surgeries) in pediatric patients. Is it necessary indeed or this a hypermeasure taken...
21 August 2014 9,824 11 View
A number of surgeries, incl. all possible osteosynthesis devices, shock wave therapy, fixateur externe, osteoplasty, vascularized fibula graft, fibula pro tibia reconstruction, etc., failed to...
18 August 2014 145 10 View
This is a very unhappy situation and presents a serious intraoperative and postoperative challenge. Unfortunately, it happens sometimes in cases with poor bone quality and deficient bone stock. On...
02 August 2014 1,324 7 View
This is a problematic hip nosology, especially in bilateral hip dislocation. Although similar cases are getting rarer, they still exist. Some of the patients insist on getting a THR in spite of...
28 July 2014 2,744 12 View
Sometimes it is problematic to remove the bone cement from the femoral canal. Some risk for femur fracture also exists if you are very ambitious to separate and remove well fixed parts of cement...
28 July 2014 9,880 11 View
In the past the Girdlestone procedure has been practiced for severe OA of the hip. In cases of bilateral Girdlestone very poor results have been reported in the 1950's and 60's as far as walking...
11 July 2014 1,145 8 View
In spinal echinococcosis a complete removal of the cysts is not always possible. Some authors recommend treating the site with hyperosmolar solutions in an attempt to damage and eliminate the rest...
22 June 2014 5,814 5 View
The results are very controversial. Some authors add a stage IIa where the core decompression is not efficient at all. What is your experience and long-term results ?
20 June 2014 6,560 1 View
Urethral catheters are frequently associated with urinary infections. This may set the arthroplasty at risk for early or late infections. Nevertheless many surgeons and anesthesiologists use...
22 May 2014 8,178 8 View
This relatively new device is designed to close the annulus fibrosus defect and prevent reherniation. In any case it makes the discectomy more expensive. According to short-term observations this...
13 May 2014 4,091 5 View
I see that the arthroscopic synovectomy gains in popularity nowadays. However, the idea of synovectomy in RA is to remove possibly the whole synovial membrane (total or subtotal synovectomy) so...
24 November 2013 5,634 5 View
The so-called "Tennis elbow" is a frequent condition which, unfortunately, does not always answer positively to conservative treatment, Very often it becomes a chronic pathology that causes severe...
18 November 2013 9,567 2 View
In the literature there are some reports of such practice. Is it recommendable at all or should it be performed in selective cases?
05 November 2013 9,508 7 View
Some colleagues believe this technique is obsolete or preserved for adolescents or younger adults in case of hip dysplasia. What is your experience ?
04 November 2013 8,079 3 View
