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D Ivosevic-Radovanovic

Publications and source records attributed to D Ivosevic-Radovanovic.

5 recordsLinked to original sources
PubMed1988

[Arthroplasty of the elbow].

Elbow arthroplasty is still one of the less frequently performed joint replacement procedures. It is technically demanding, and numerous complications are possible. It is therefore indicated mainly in severely handicapped patients in whom all other alternatives have been attempted. A review of the literature relating to arthroplasties monitored over follow-up periods of more than 5 years shows that the results are now quite acceptable. They are far better than those seen following most resection arthroplasties. The results achieved with our GSB III prosthesis are compared with those obtained with other prosthetic devices in current use. It appears that in a large proportion of cases our prosthesis allows a good range of painfree motion, which we attribute in part to the operative approach used. The complication rate appears to be relatively low.

Adult↗
PubMed1988

Semiconstrained elbow prostheses with special reference to the GSB III prosthesis.

Fully constrained metal-to-metal elbow prostheses are not used anymore because of a high loosening rate. Today semiconstrained or condylar prostheses are the two possibilities when replacement of a destroyed elbow joint is considered. A careful analysis of the most recent publications in the world literature reveals a high complication rate for both types of prostheses, each one having specific advantages and disadvantages. The Gschwend-Scheier-Bähler (GSB) III prosthesis is a semiconstrained prosthesis, requires little bone resection, and is therefore easily salvaged. The results in regard to pain relief and improvement in range of motion are satisfactory in a high percentage of patients. The rate of lasting complications is lower than with most of the other prostheses. The authors' transtricipital approach is also a factor that contributes to the high success rate. In case of a failed arthroplasty the authors' method of reconstructing the humeral condyles allows a better salvage.

Adult↗
PubMed1986

[The child's foot in juvenile polyarthritis (cP)].

The foot, with particular involvement of the ankle joint and forefoot, is an early and frequent site of inflammatory changes in juvenile rheumatoid arthritis. According to the type of disease (sero+ or sero-, polyarticular or pauciarticular, HLAB-27 positive), there is a great variety of symptoms and also of prognoses. The involvement of growth cartilage is the cause of an additional deforming factor over and above the usually progressive process. Varus and cavovarus deformities with clawtoes occur most frequently. Owing to the thickness of the joint cartilage, there is mostly no severe functional deficiency; if there is it often occurs only some what late. On the other hand, extensive bony fusions belong to the characteristic picture of certain forms of juvenile rheumatoid arthritis. Since pain occurs only in the presence of severe deformities due to localized pressure, it is rather seldom that patients with juvenile rheumatoid arthritis come for surgical treatment of their feet. Therefore, it is all the more important to point out the justification of synovectomy in all of these cases, where swelling cannot be removed by conservative measures and in the presence of signs of progressive destruction. Correction of deformities can be achieved by surgery aiming at soft tissue release and osteotomy, partly avoiding arthrodesis. The latter serves to correct fixed deformities and those that disturb function at the end of the growth period.

Ankle Joint↗