Abstract:
53 year female patient with avascular necrosis of right hip complaint of pain and limited hip joint function. After the clinical evaluation and imaging technique minimal invasive surgical operation was indicated. We made hip core decompression with intraosseos bioplasty technique -Arthrex which is a surgical procedure used to treat osteonecrosis, or avascular necrosis (AVN) of the hip. We did drilling one larger hole into the dead bone of the femoral head (top of thigh bone) in order to relieve pressure in the bone. IntraOsseous BioPlasty technique utilizes a core decompression with direct application stem cells – PRP concentrate from bone marrow aspirate using Arthrex Angel System in order to stimulate healing. We used Bone Marrow Aspirate Stem Cell Concentrate (BMAC) which is a component of her bone marrow that contains growth factors and anti-inflammatory proteins which have been shown to promote bone and soft tissue healing as well as reduce symptoms of pain related to injuries, tendinitis and arthritis.
Follow up 3,6 months postoperatively -The IntraOsseous BioPlasty (IOBP®) effectively alleviate pain, improve joint function and delay development of osteonecrosis of femoral head.
Biography:
Konstantin Mitev is an associate professor of surgery/traumatology at the Faculty of Medicine at Goche Delchev University, Shtip. In 2016 became subspecialist -Trauma Surgeon, 2014 became MD, PHD of medical science, 2011. The preparation of the doctoral thesis is accepted, in the field of arthroscopic treatment of the articular cartilage of the knee and 2010. Master thesis defense and obtained master’s degree of medical sciences 2009. Completed postgraduate studies in Traumatology. 2001-2005 Specialization in general surgery 1998.
Work Experience:
Present Trauma surgeon – work at the department of Orthopedics and Traumatology, in Zan Mitrev Clinic – Skopje, Republic of North Macedonia. 2021 he has elected as an Associated Professor of Medical Faculty at UGD Stip. 2015 Elected as Ass. Professor at Medical faculty UGD-Stip. 2012 Head of department of Orthopaedics and Traumatology at Special Hospital –Filip Vtori. 2010 Assistant in surgery at the medical faculty, Univeristy Ss. Cyril and Methodius, Skopje. 1998-2001 City Surgical Clinic St. Naum Ohridski – Skopje.1997-1998 Health Clinic – Zdravstven dom, Skopje
Experience: 20 years orthopedic trauma surgery, night duties, emergency interventions, repositions, external fixator, thoracocentesis, punctio, cast immmobilisations, sports trauma and pediatric fractures.
Annually: 150 arthroscopic procedures (knee, ankle, shoulder, elbow, cartilage repair), 120 fracture osteosynthesis (upper and lower extremity, pelvis), 10 pediatric fracture, 300 intraarticular application of PRP or ACP and over 2500 medical exams and consultation.
Additional Education:
In 2016 advanced course in shoulder arthroscopy -Frankfurt, Germany. 2015 One month professional stay in Clinic for sports traumatology in Uhingen, Germany. 2012 Fellowship at Orthopedic and Traumatology Clinic ‘Acromion “-Croatia.2009 One month professional stay in Clinic for sports traumatology in Uhingen, Germany. 2005 advanced course in arthroscopy in Varna, R. Bulgaria.Advanced course and workshop on arthroscopy, Otocec, R. Slovenia. 2002 One month professional stay at the Clinic for traumatology in the Clinic Center – Ljubljana Advanced course about osteosynthesis, held in Bled, R. Slovenia, under the auspices of AO/ASIF 2001
Course about sports injuries, organized under the auspices of the International Olympic Committee, Skopje, March. 1999 Basic course about Osteosynthesis of proximal femur and tibia organized by the European association for Orthopedics and Traumatology held in Skopje, October. 1998 One month he stay in St.Akershus in Oslo, Norway.
Memberships:
- Macedonian association – Madot
- German association of arthroscopy – AGA
- World International Association of Arthroscopy – ISAKOS
- President of the trauma forum in MADOT
- Active member in the research committee in the National foundation for transplantation of R. Macedonia
