prosthesis | Acta Medica Marisiensis

First Study of the Prosthesis Indication Deafnesses in Mureș County

Lostun Gabriel^1*, Lostun Alexandra², Brînzaniuc Klara³

1 Department of Otorhinolaryngology, University of Medicine and Pharmacy, Tîrgu Mureș, Romania
2 Department of Forensic Medicine, University of Medicine and Pharmacy Tîrgu Mures, Romania
3 Department of Human Anatomy, University of Medicine and Pharmacy, Tîrgu Mureș, Romania

DOI: 10.1515/amma-2015-0074

Objective: The aim of this study was to asses the frequency of the deafness pathology in the Ear, Nose and Throat Clinic of the Emergency County Hospital in Tîrgu Mureș and two other private institutions that have an ear linked profile, with a special interest on those with indication for prosthesis. This is a pilot study, being conceived as a part of a larger one used to measure the number of possible cochlear implant recipients nationwide.
Methods: We gathered data from the interval 2011-2013, including in the study all the patients for which an audiometry testing was performed in this time interval. This was followed by a process of selection/exclusion applied to the original group in order to obtain significant statistical data.
Results: The most important part of the study was to quantify the different types of hypoaccusia and the relative number of candidates for various prosthesis available these days.
Conclusions: This study quantifies the rising need for hearing prosthesis and triggers a signal.

Knee Arthroplasty: With or Without Patellar Component?

Sólyom Árpád¹, Király Ildikó², Benedek Csaba², Fülöp Csongor¹, Nagy Örs³, Bățagă Tiberiu¹

1 Ist Orthopaedic and Trauma Clinic, Mureș County Emergency Clinical Hospital, Tîrgu Mureș, Romania
2 University of Medicine and Pharmacy of Tîrgu Mureș, Faculty of General Medicine, sixth year medical student, Tîrgu Mureș, Romania
3 IInd Orthopaedic and Trauma Clinic, Mureș County Hospital, Tîrgu Mureș, Romania

DOI: 10.1515/amma-2015-0052

Arthroplasty is used when there is irreversible damage to the articular cartilage of the knee. It involves implanting a bicompartimental (femoral and tibial components) or a tricompartimental (femoral, tibial and patellar components) prosthesis. It is a very invasive and costly operation, so our objective was to evaluate the necessity of the patellar component. Material and methods: We included 39 patients in the study: in 27 cases we used tricompartimental prosthesis, while the other 12 received only the bicompartimental components. Patients were evaluated preoperatively and postoperatively using the International Knee Documentation Comitee score. Results: We’ve found that there is little to no difference between the two groups regarding mobility and complication, however patients with bicompartimental arthroplasty complained of less pain. Conclusion: We’ve found that bicompartimental arthroplasty – being a less invasive procedure – is superior not only in terms of pain management, but is also associated with less bleeding and shorter intraoperative time. The revision is easier and the technique presents also financially advantages, for both the patient and the medical facility.