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Článek

History of surgical approaches in orthopaedics

Bartoníček, Jan
Autor Bartoníček, Jan Department of Orthopedics, First Faculty of Medicine, Charles University and the Central Military Hospital, Prague, Czech Republic Institute of Anatomy, First Faculty of Medicine, Charles University, Prague, Czech Republic
Naňka, Ondřej
Autor Naňka, Ondřej Institute of Anatomy, First Faculty of Medicine, Charles University, Prague, Czech Republic. Ondrej.Nanka@lf1.cuni.cz

International orthopaedics. 2025 ; 49 (6) : 1537-1541. [pub] 20250422

Int Orthop
ISSN 1432-5195
Medvik
Zdroj

Surgical approaches in bone surgery have undergone a long evolution over more than 130 years. While a number of publications have been devoted to the history of internal fixation, surgical approaches have remained neglected from this perspective. The development of approaches in musculoskeletal surgery is inextricably linked to four personalities. Theodor Kocher, in 1892, pointed out that descriptions of surgical approaches must be an essential part of surgical textbooks of operative techniques; James Edwin Thompson, in 1918, formulated the basic requirements for the surgical approaches to the skeleton of limbs; Arnold Kirkpatrick Henry published the first textbook of surgical approaches in 1927 and presented the concept of internervous planes in 1945; in the same year, Toufick Nicola created the first comprehensive atlas of surgical approaches to bones and joints of limbs, the pelvis and spine.

Článek

Rozhovor s osobností české ortopedie - MUDr. Martin Holinka, Ph.D

Holinka, Martin, 1983-
Autor Autorita ORCID

Podiatrické listy. 2024 ; 2024 (1) : 4-7.

Podiat. Listy
ISSN 2336-7725
Medvik
Zdroj

Článek online

Evaluation of Depression and Cognitive Status in Geriatric Patients Undergoing Orthopedic Surgery [Hodnocení deprese a kognitivního stavu u geriatrických pacientů podstupujících ortopedickou chirurgii]

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca. 2024 ; 91 (6) : 348-354. [pub] -

Acta Chir Orthop Traumatol Cech
ISSN 0001-5415
Medvik
Zdroj

PURPOSE OF THE STUDY: Cognitive disorders are common in geriatric surgical patients We conducted a study to evaluate depression and cognitive behavior in geriatric patients undergoing orthopedic surgery. MATERIAL AND METHODS: This descriptive cross-sectional study was conducted at a university hospital in Turkey, involving 262 elderly patients who underwent orthopedic surgeries. Data were collected using The Patient Information Form, Standardized Mini-Mental Test, and Geriatric Depression Scale. RESULTS: The mean score of the Standardized Mini-Mental Test scale of the patients after surgery was 17.97±4.99, mean score of the Geriatric Depression Scale was 6.20±2.78. The study revealed that 85.1% (n=223) of the participants had cognitive impairment and 69.1% (n=181) depressive symptoms. Additionally, cognitive impairment and depressive symptoms increased as age, pain scores, and length of hospital stay increased. Our research also showed that individuals with a history of falls, visual/hearing impairment, malnutrition, use of assistive devices, dependence on others for daily activities, non-educated or single, individuals are more likely to experience geriatric depression and have a higher of cognitive impairment. Additionally, patients who have had hip arthroplasty, have low hemoglobin levels, or have high ASA scores are more prone to cognitive impairment. Cognitive impairment was more common in patients with higher depression scores. CONCLUSIONS: Considering these findings, it is crucial to identify the cognitive disorders and depressive symptoms during their initial hospitalization to prevent or treat them in geriatric patients. Regular monitoring of geriatric patients in orthopedic clinics for symptoms of cognitive status and depression is recommended, and caregivers should be made aware of this issue. KEY WORDS: geriatric patients, orthopedic procedures, cognitive status, depression.