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Volume 53, Issue 4, 2025

Online ISSN: 2560-3310

ISSN: 0350-8773

Volume 53 , Issue 4, (2025)

Published: 30.06.2025.

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01.12.2021.

Professional paper

Operative treatment of supracondylar elbow fracture in a child using the percutaneous method

Supracondylar fractures are the most common elbow injuries in children and are associated with prolonged morbidity due to possible complications that can lead to deformity. The decision on the treatment method is made based on Gartland's classification (I, II, III and IV types) and the treatment can be non-operative (I and II type) and operative (III and IV type). When it comes to the percutaneous method, the main dilemma for its implementation is related to pinning from the medial side of the elbow because there is a high possibility of injury to the n. ulnaris which, according to data from the literature, occurs in some 15% of cases. The aim of treatment is pain relief and maintenance of the patient's functional status. The case presented in this paper represents a patient with whom the clinician is most likely to encounter and shows the clinical assessment of the patient's condition, the way of deciding on the treatment method and the outcome of the treatment undertaken. Agirl, 8 years old, was injured when she fell while playing. At the Department of Orthopedic Surgery and Traumatology, Clinical Hospital Center Kosovska Mitrovica, the patient was clinically and radiographically examined, and the injury was defined as a supracondylar fracture type III according to Gartland. After adequate preoperative preparation under general anesthesia, without the use of a drape - Turniquet, with the use of a C-bow, repositioning is performed and after obtaining a satisfactory position of the fragments, they are fixed percutaneously with 3 Kirschner needles, two medially and one laterally. The patient was discharged 3 days after admission with controls performed for 7 days. The Kirschner pins were removed on the 5th week after the operation and physical treatment was started, after which the movements of flexion and extension as well as pronation and supination were fully restored. Similar results are found in the literature. This information can be helpful in advising parents about what to expect after their child's injury. Also, they represent evidence of good clinical practice for orthopedic doctors and physiotherapists.

Đorđe Kadić, A. Bozović, G. Radojević, Lj. Jakšić, M. Milić

01.12.2020.

Professional paper

Treatment fracture of the diaphisis humerus with functional plaster

Treatment of humerus fractures is divided into operative and non-operative treatment Fractures of the diaphysis of the humerus heal well. Surgeons today have many opportunities to treat them. The decision on the type of treatment to be applied depends on the location of the fracture, the existence of associated injuries, the age and the general condition of the patient. Non-operative treatment is most often applied, although there are fractures in which surgical intervention is necessary in order to perform healing and prevent complications. Non-operative treatment of fractures of the diaphysis of the humerus gives good results, with little angulation and minimal or no shortening of the arm. Adequate repositioning, appropriate plaster immobilization and regular X-rays heal the fracture within the allotted time. Disciplined early physical therapy in terms of circular movements prevents shoulder contracture and allows later physical therapy to last significantly shorter. Non-operative treatment lasts from 7-11,5 weeks.

Saša Jovanović, N. Miljković, D. Petrović, Lj. Jakšić, G. Radojević, A. Božović

01.12.2013.

Professional paper

THE IMPACT OF AEROBIC EXERCISE ON MORPHOLOGICAL CHARACTERISTICS AND AGILITY IN CHILDREN

We examined the impact of aerobic exercise on morphological characteristics and agility in elementary school children. Anthropometric characteristics of the subjects were as follows: longitudinal skeletal dimension (body height, as well as the lengths of upper and lower extremities), circular skeletal dimension and body mass (mean circumference of the chest, the circumference of the thigh of an stretched leg, maximum circumference of the calf, body mass) and subcutaneous fat (skin thickness of the abdomen, thigh and calf). The agility was estimated by the envelope test, side steps and a eight with bending. For statistical analysis we employed the basic methods of descriptive statistics, while the discriminatory power of measurements was estimated by calculation of skewness and kurtosis of the data. Canonical correlation analysis was applied to explain the structure of the relationships between the two sets of data. The results of the analysis on this sample suggest that there is a strong linear relationship between morphological characteristics and agility at a multivariate level.

Dj. Stanic, D. Przulj, A. Bozovic

01.12.2013.

Professional paper

QUANTITATIVE ANALYSIS OF SPORTS INJURIES IN KOSOVSKA MITROVICA

The extent and frequency of sports injury is often influenced by a variety of exogenous and endogenous factors, including poor physical fitness muscular imbalance, anatomical abnormalities, poor nutrition, and periods of intensive growth. The competing ability must be carefully estimated after injury, taking into account the nature and type of injury, the pain sensitivity as well as the time that passed from the injury. This is usually accomplished by the comparison with the uninjured limb, as well as with functional examinations. We evaluated the frequency and the type of injury in 112 sportsmen in Kosovska Mitrovica. Our results indicate that accurate evaluation of competing ability after injury is an important preventive measure in further sports activities.

Dj. Stanic, A. Bozovic, A. Vasic

15.01.2014.

Profesional paper

Osnovne karakteristike sportskih povreda i značaj njihove prevencije

Povrede u sportu su relativno česte i mogu biti akutne i hronične, kao i endogene i egzogene. Na obim i učestalost povređivanja mogu uticati brojni faktori, kao što su loša kondicija, mišićni disbalans, anatomske anomalije, nutritivni faktori i period rasta. Nakon zbrinjavanja i lečenja sportske povrede sledi rehabilitacija i procena takmičarske sposobnosti pojedinca od strane lekara na osnovu prirode povrede, bolne osetljivosti, vremenskog faktora, poređenjem sa zdravim ekstremitetom, funkcionalnim ispitivanjima. Pravilna evaluacija takmičarske sposobnosti nakon povrede je važan faktor prevencije eventualnog povređivanja u kasnijim sportskim aktivnostima pojedinca.

Đ. Stanić, A. Božović, R. Grbić, D. Stamenković

01.01.2011.

Original scientific paper

BONE AND JOINT TUBERCULOSIS IN OUR STUDY - EPIDEMIOLOGICAL, DIAGNOSTIC AND THERAPEUTIC SPECIFICS


Bone and joints tuberculosis is a secondary infection of locomotor system, caused by a Mycobacterium Tuberculo- sis. Low incidence of tuberculosis has been maintained for a long period of time due to use of efficient chemotherapy. Howe- ver, in recent years increasing number of newly registered cases is seen, due to wide use of immunosuppressive therapy, spread of HIV, aging population. Those factors influence mycobacterium more likely to become drug resistant. The objecti- ve of the study is to review epidemiological, clinical,radiology and laboratory findings of bone and joints tuberculosis in our patients, and treatment efficiency. In 15 years of prospective study, 107 different ages male and female adult patients, were treated. In most cases spinal tuberculosis was registered (24%), then hip tuberculosis (17%), knee tuberculosis (16%) and tu- berculosis of sacroiliac joint (7%). Non operative treatment with antitubercular drugs was performed in all patients, while in 41% we used operative treatment. Early diagnosis of bone and joints tuberculosis, while treated with non operative (anti tu- berculosis drugs) and operative methods are preconditions to achieve high percentages of long term remission.

R. Grbic, M. Grbic, D. Tabaković, A. Bozovic

01.01.2010.

Professional paper

COMPRESSIVE OSTEOSYNTHESIS AND BONE OSTEOPLASTICS AS METHODS IN TREATMENT OF BONES PSEUDOARTHROSIS

The pseudoarthrosis is a pathological state of the bone when the refracted bone fragments are not connected by bone callus. The causes for the occurrence of the pseudoarthrosis may be general and lokal.In treatment we were using two methods: the bone plastic and osteosynthesis and compression osteosynthesis by Ilizarov. The aim of this work is the analysis of patients with pseudoarthrosis and results of treatment. The study included 29 patients treated for the past ten years the Department of Orthopedics Health Center Z.C.Kosovska Mitrovica.The most frequently pseudoarthrosis were in humerusu 6 (21%), ulna 6 (21%) and skafoidne bone 6 (21%). The pseudoarthrosis in tibia was treated in 4 (14%) patients, in the femur 3 (10%) patients. 2 (7%) of the patients were operated with diagnosis the medial-maleolus pseudoarthrosis of the tibia fractures and 1 (3%) patient were operated with diagnosis the maleolus pseudoarthrosis of the fibula and of the radius.We were using the treatment methods osteoplastic and osteosynthesis for 28 (97%) patients and one patient was treated with the device by Ilizarov method. Patients were monitored by the clinical way, by the radiographic way ,by laboratory way and by the functional way The average time of the monitoring was ten months .The average time of the healing was the five months. We noticed the one complications only, a lesion of the radius, which is repaired. The pseudoarthrosis is not common, in our material it is 4% of the total number of the operated patients.The most frequently pseudoarthrosis was on humerous 21% (6 patients). By applying the compressive osteosynthesis methods and osteoplastic method we have achieved the completely curring in 89% (26 operated patients). 

A. Vasić, M. Jakšiċ, V. Adžić, A. Božović, M.D. Petrović, Lj. Jakšiċ, G. Radojević, V. Nestorović

01.01.2010.

Case Reports

EXTERNAL FIXATION OF COMMINUTED FRACTURES OF ANCLE - CASE REPORT

Cominution of bone fragments and weakness of soft tissues dominate in cominuted fractures of ancle joint. This conditions representing big problem for proper osteofixation. Authors demonstrated external fixation tip Mitkoviæ for operative treatment of cominuted fractures of ancle in two patients. In both cases they achieved excellent functional outcome (by AOFAS score). This method distinguish easily aplication, stability of bone fragments, good biodynamic conditions. Those caracteristics provide optimal conditions for bone healing and authors recomended this method for treatment cominuted fratures of ancle.

R. Grbić, A. Božović

01.12.2008.

Professional paper

THE FRACTURES OF THE LOWER LEG AND HEALTHING THE FRACTURES WITH EXSTERNAL FIKSATER BY MITKOVICH USING THE CLOSED

The fractures of the tibia are mainly the fractures of the long bones. In the department of the orthopedic in Kosovska Mitrovica, 45 of patient with fracture of the lower leg had been treated with using the closed method. It had been the linear fractures in the 84% of the treated cases.The most number of the patients were treated in the hospital for 5 days. In our healing we are noticed the folowed complications in the treated patients: the major infections around the pin were in the 4% of the treated patients (2 patients),the fat embolism were in the 2% of the treated patients (1 patient),the pseudoarthrosis were in the 4% of the treated patients (2 patients). Aplication the extrafocal fixat r by Mitkovich using the closed method made possible that the fracture became stable in fast and simply way with the minnor invasion at the soft tissues and with this are made the conditions for splicing of the fractures.

A. Vasić, M. Jakšiċ, V. Adžić, D. Milović, A. Božović, D. Petrović, Lj. Jakšiċ

01.01.2007.

Professional paper

POSSIBILITY TREATMENT FRACTURES TROCHANTERIC AREA, INTERNAL FIXATOR WITH DOUBLE DYNAMISATION BY MITKOVIC

Transtrochanteric fractures represente ekstracapsular fracture proksimal heel of femur, but sometimes is possible to stretch fracture line in intracapsular area. All this fracture represente large disability for patient, large life threatening and if is don`t have adequate treatment substantially is change quality of life. Most of patient with transtrochanteric fractures is older than 65. years with prevalence women gender in attitude 3:1. Number of patient with fracture proksimal heel of femur and with fracture trochanteric area growing up from year to year. In west country this fracture get epidemic shape. For make work it is used material from department of Orthopaedics and traumatology in Medical centre in Kosovska Mitrovica in interval at 2003. to 2006. years. In process of work we follow frequency patient with transtrochanteric fractures in attitude at gender, age, way of injury. We following time elapsed from fractures to surgery treatment, kind of anesthesia, number of day after operation. In postoperative course following is time verticalization patient, presence early and late complication. The ultimatefunctional results which we receive, were shown according to the modificated scale by Merle d'Aubigneu

D. Petrović, A. Vasić, S. Dimić, A. Božović

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