University Clinic for Orthopaedic Diseases Skopje
The Clinic for Orthopaedic Diseases, as one of the youngest clinics at the Faculty of Medicine, was founded on 8th November 1956 with the Decree of Administration Office at the faculty of Medicine, and the Decree was confirmed on 10th January 1957 by the Council of the University in Skopje.
8th November 1958 is the date noted as the official date of the formation of the Clinic for Orthopaedic Diseases in Skopje.
The Clinic for Orthopaedic Diseases in Skopje is the largest healthcare institution of the type in R.Macedonia and during its existence, it developed into a national, regional and international diagnostic centre for treating diseases and injuries of the musculoskeletal system in children and adults. It is located in two places and comprises of Clinic A and Clinic B. The stationary part has 150 hospital beds and 10 beds in intensive care divided in 13 departments where 2500 patients are treatred annually. There, 1800 patients on average are treated annually with the most contemporary methods and approaches.
As developed and affirmed subspecialization activities, the following should be mentioned:
– prevention, early diagnosis and treatment of congenital dysplasias of the hip with ultrasound diagnostic (ultrasonography),
– ultrasound diagnostic of the motor aparatus,
– surgical treatment with biological reconstruction of different shapes of congenital luxation of the hip
– implantation of cemented and cementless total prosthesis of the hip,
– implantation of total prosthesis of the knee and other joints,
– revision surgery on the hip and knee,
– joint traumatology with arthroscopic diagnosis and surgery,
– tumours of the osteoarticular system,
– reconstruction of the hand and forearm,
– osteoarticular transplantation using modern bone banks,
– reconstruction of congenital and acquired deformities of the foot.
By improving and enlarging the staff structure, the Clinic started working on some fundamental and applicative scientific research in the field of the motor system such as:
– theoretical and biomechanical research of the locomotor system and especially of the hip in a child,
– biological reconstruction of the child’s hip especially in cases with congenital dysplasia of the hip,
– fundamental and applicative problems in total prosthesis of the hip,
– fundamental and applicative problems in total prosthesis of the knee and other joints,
– applicative problems with use of new modular implants in revision endoprosthetics,
– problems and application of structural bone transpkants in reconstructive surgery, by organizing a modern bone bank,
– diagnostic and applicative problems in bone tumours,
– the effect of the bone cement over the knee tissue at cellular level,
– analysis of the walk in pre and post-operative period in patients with ligament transplantation.
During the last few years, several health-scientific projects were conducted at the Clinic, such as:
– oral tromboprofilaxis – ХАМОХ in patients who had undergone a surgery with endoprosthetic replacement of hip and knee which lasted 2 years
– safety of the vial BONVIVA in patients with osteoporosis.
During the last few years, at the Clinic, the following has been done:
– first total endoprosthesis of the ankle, shoulder and elbow joint,
– a lot of specially designed tumour endoprsthesis for hips, thighs, knees, lower legs and shoulders have been replaced,
– rescue and operative interventions have been performed,
– transplantations and reconstructions with vascular fibula have been done, arthrodesis with Сammpanaci, as well as hemipelvectomies and intrahumero-scapulothoracic amputations.
– within the part of arthroscopic surgery, during the last several years, more arthroscopic techniques have been introduced such as: arthroscopic reconstruction of the anterior cruciate ligament (all existing techniques), arthroscopic reconstruction of the shoulder in shoulder instability, arthroscopic surgery of the ankle, arthroscopic assist in osteochondral fractures of the knee and ankle by applying mini-invasive surgery,
– modern treatment of the articular cartilage – mosaicplasty, PDP. PRGF,
– modern treatment in patellar instability,
– Рonseti-treatment in children with congenital anomalies of the foot (Pes equinovarus).
The Clinic for Orthopaedic Diseases in its operation uses highly diferentiated methods to
Diagnose the diseases of the locomotor aparatus, which are nowadays a trend in the modern medicine. We hereby highlight the widely-accepted ECHO sonography diagnosis for early detection of developed anomalies of children;s hips and other diseases of soft tissues.
The Clinic also has a Hologic QDR Explorer, or in other words the bone densitometer which is used to measure and evaluate the bone mineral contents and density for comparison to the measurements done with referent data bases to evaluate the risk of fractures. This is to analyse the composition of the body and to measure the periprosthetic bone mineral density.
Currently within Clinic B, there is an osteoporosis centre founded, where despite densitometry is done,once a month, there are also lectures for osteoporosis in order to raise the level of health education in patients.