Revista de Științe ale Sănătății din Moldova : Moldovan Journal of Health Sciences 2025 Vol. 12, Issue 1

„Chronic myeloid leukemia: contemporary insights into the epidemiological, clinical-biological profile, diagnosis and treatment”. Author: Vasile Musteaţă

Wed, 01 Jan 2025 00:00:00 GMT

„Chronic myeloid leukemia: contemporary insights into the epidemiological, clinical-biological profile, diagnosis and treatment”. Author: Vasile Musteaţă Țurea, Valentin

Professor Nicolae Fruntașu at 90: A Life in Service of Alma Mater

Wed, 01 Jan 2025 00:00:00 GMT

Professor Nicolae Fruntașu at 90: A Life in Service of Alma Mater Ceban, Emil

Tooth extraction with immediate implantation and immediate loading

Wed, 01 Jan 2025 00:00:00 GMT

Tooth extraction with immediate implantation and immediate loading Zgîrcea, Adrian Introduction. Immediate loading of dental implants is an evolving discipline requiring validation through clinical and statistical analyses. This study presents a case of immediate implantation and loading to evaluate predictability and outcomes. Immediate restoration reduces treatment time, promotes rapid aesthetic recovery, and addresses patient expectations for functional rehabilitation. Success in such cases relies heavily on maintaining primary stability and avoiding micromovements during osseointegration. Materials and methods. A 47-year-old patient underwent extraction of teeth 11 and 13, followed by immediate postextraction implantation. Implants were loaded with provisional restorations within 48 hours. Statistical analysis included torque measurements, Periotest values, and aesthetic evaluations. Comparative data were reviewed against existing literature to assess clinical significance. Results. Primary stability was achieved with insertion torque of 50 Ncm and Periotest values of -5 and -6. Literature indicates success rates for immediate loading between 94-98%, and this case corroborated these findings with stable and aesthetic results. Surveys revealed 85% satisfaction with comfort and appearance, and the gingival profile remained stable post-treatment. Conclusions. Immediate loading is a predictable and effective method when conditions for atraumatic extraction, implant stability, and soft tissue management are met. The study reinforces the viability of this approach in improving patient outcomes and minimizing recovery periods while maintaining aesthetics.

Current concepts in the management of calcaneal fractures

Wed, 01 Jan 2025 00:00:00 GMT

Current concepts in the management of calcaneal fractures Sîromeatnicov, Mihaela Introduction. Despite advances in non-operative and surgical management, calcaneal fractures remain severe injuries with relatively poor clinical outcomes. These fractures predominantly affect young, active individuals and are often associated with long-term sequelae, permanent disability, a considerable reduction in quality of life, and a substantial economic impact due to work incapacity and rehabilitation needs. Material and methods. This study is a narrative literature review. A bibliographic search was conducted using PubMed, Hinari, SpringerLink, National Center for Biotechnology Information, and Medline databases. Articles published from 1990 to 2024 were selected based on keyword combinations such as “calcaneal fracture,” “comminuted calcaneal fracture,” “orthopedic treatment”, “surgical treatment,” “minimally invasive treatment,” “osteosynthesis,” “locking plate,” and “locked intramedullary nail.” After processing information from these databases according to the search criteria, 225 full-text articles were identified. The final bibliography includes 56 relevant sources, which were considered representative of the materials published on the topic of this synthesis article. Results. Surgical treatment using open reduction and internal fixation for displaced intra-articular calcaneal fractures was superior to non-surgical treatment in restoring Bohler’s angle, achieving more stable calcaneal height and width, improving functional recovery, reducing the number of patients requiring orthopedic footwear, and enabling return to pre-injury activities, though it carries a high risk of complications. The minimally invasive approach via the sinus tarsi and the extended lateral L-shaped approach are equally effective for treating Sanders type II and III fractures in terms of restoring anatomical structures, radiological outcomes, and functional recovery. However, the sinus tarsi approach is effective in reducing wound complication rates (3.6–6.3% vs. 13.5–31.2%, respectively; p < 0.05), pain syndrome rates, time to surgery (p < 0.0001), surgery duration (p < 0.05), and hospital stay duration. Therefore, the minimal incision approach is a good alternative to the extended lateral L-shaped approach. Conclusions. The current concept in managing calcaneal fractures involves developing an individualized treatment plan based on the patient’s characteristics and functional requirements, comorbidities, fracture type, and associated injuries, as well as the surgeon’s experience with the selected surgical technique.