[Peloido-extracto therapy in certain orthopedic and traumatic diseases].
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Biomedical subjects
Publications and source records attributed to C Baciu.
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A new efficient method is presented based on the surgical cure of the infectious focus and the introductions of strings of methyl-polimetacrylate beads containing gentamycin. The method was demonstrated to be far superior when compared with both general antibiotherapy, and local antibiotherapy with antibiotic powder or with instillations of antibiotic solutions. The failures of this new treatment represented only 24.5% of all cases. The presence of gentamycin-containing beads in the infection focus provides constant and prolonged delivery of the antibiotic in highly bactericidal concentration.
Bone dermoid fibroma, described by Jaffe in 1958 is a benign fibroblastic tumour characterized by a remarkable tendency to expansion and to local recidives, without metastasizing. Some 38 cases have been reported to the present in the specialized literature. Two new cases are reported now, the first in the Romanian medical literature, one with localization of the tumour in the superior tibioperoneal metaphysis, and another located in the inferior femoral metaphysis. The first case recidivated after 3 surgical exereses over a period of nearly two years, and had to be amputated. The second case was solved by resection-arthrodesis of the Juvara-Merle d'Aubigne type, and is currently followed-up.
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The technique consists in an intra-tendinous suture with two thick cotton strands, and in surrounding these strands with the tendon of the small plantar muscle. The entire assembly is coated with a square tendinous flap obtained from the tendinomuscular junction and sutured to itself just like a muff. From the first application of the technique in 1960 to the present a total of 38 cases have been solved, of which 29 have been followed at intervals between 2 and 19 years. The good results that have been obtained justify the interest of the technique. A series of considerations are made on the biomechanisms that induce the lesion, on the macroscopic aspects, and on the microscopic and microangiographic ones.