IIntroduction: Fractures of the lower leg are frequent fractures of long bones that are of great importance in traumatology. The role of external fixation (SF) as a type of surgical treatment is significant and widely applied. There are 3 methods of using SF to treat tibial fractures: SF as primary and definitive treatment, SF combined with internal fixation, and conversion of SF to internal fixation. Objective: To show the possibilities of SF as a definitive way of treating lower leg fractures. Methods: In our paper, we analyzed 254 lower leg fractures treated with SF according to Mitković M20, which were treated at the Department of Orthopedics and Traumatology of CHC Kosovska Mitrovica. This series included 172 men or 68% of the total number of patients, and 83 or 32% women. Results: The average age of patients treated with this method is between the third and fourth decades of life. Falling on the leg with twisting of the table or the entire lower part of the leg is the most common type and cause of injuries in 69%. A closed lower leg fracture was diagnosed in 220 patients (A AO 59.%, B AO 26% and C AO 15%). Adequate position of the bone fragments was achieved by the closed reposition method in 190 (%), the average healing time was 18.4 weeks. In 93% of patients, we achieved bone union. Conclusion: The simple placement technique, the simplicity of the instrumentation, the wide range of indications where SF can be used, have led to the fact that it is a type of surgical treatment of great importance for lower leg fractures in small areas.

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.

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). 

Chronic vein insufficiency (CVI) is abnormal functioning of a system of veins resulted from incompetence of vein valves, with or without vein obstruction covering both surface and deep veins. Nowadays there are various standars in the diagnosis of CVI and variations of treatment modalities, which increases the importance of occuracy and foundations of the diagnosis. In the consideration of diagnostic needs of patients with CVI, CEAP classification is suggested. This classification defines clinic categories, etiology of problem, covered anatomical segments and pathological mechanisms of CVI.

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.

Breast cancer is mostfreqency malignant tumor in womans, cardinal causer of death in malignant tumots with continous ascendig of incidence and mortality. Actual therapy of breast cancer is multidisclipinary to consist in surgical, irradiant, cytostatic, hormonal and imunological therapy with specific directive based in disease stage. Surgical therapy is now more effectiveness metod of therapy and base of multidisclipinary therapy. In aim of prognosis desease conclusion and risk ratio of local relapse in currency is prognostic factors. With combination a few factors derive prognostic indexes with whose can acquire more information aggainst biologic behaviour of each neoplasm.

Getting on in years individually becomes the biggest risk factor in appearance of the woman's brest cancer. From the entire number of new discovered woman's breast cancers, 48% are women older then age of 65. Woman's breast cancer discovered by persons got on in years diagnose in getting forward condition of illness besides bigger cancer freqvency with propitious histology and biological profile. There are not enough proper studies about the breast cancer in elderly. For the project development material has been used from the surgical clinic and clinic for Oncology, as wellas institute for Pathology of the clinical centre in the city of Nis.The data from our serial direct attention to rarer conduct of standard diagnostic procedures at elderly with breast cancer. Also the conectivity between years of the patients; and time being passing from the initial diagnosis until treatment has been studied. Using pathhistology exam we were reseiving information about histological type of cancer, about the size of cancer, histological and nuclear grade, as well as absence or hold of metastasis process of lymph nodus. The most frequent used surgical procedure was radical mastectomy modified by Madden and Patey. The presence of complications has been tracked in the postoperative progress. In the postoperative progress depending on condition of breast cancer histological and nuclear grade, hold of the lymph knots,positivism of hormonereceptors, presence of comorbidity female patientswere subjected to adjuvant therapy. With purpose of perception of diagnoses as well as caracteristics and results of treatment of the female patient's survival has been tracked. The average survival in the examined group was 21 months while it was 31 month in the control group

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

The tibial and femoral shaft fractures representing prototyp in orthopedic traumatology and great problem for resolving. The speed of limb recovering functionality after surgery is important, and often desicisive for result of treatment. Place of external fixation (EF) in surgical treatment of femurs in DCOS (damage control orthopedic surgery), cominutions of femoral shaft and open fractures, rarely as definitive method. EF in treatment of tibial shaft fractures today take a place as a definitive method like intramedulary nailing. On department of orthopedic surgery in HC Kosovska Mitrovica we examined quality of life and speed of lower limb recovering functionality on 70 patients treated with EF tip Mitkovic as a definitive curative method. The time of achieving early function of lower limbs we divided on 4 levels, and writed time when patients achieved level 3 and 4. Also this timing we compared with middle time of healing tibial or femoral shaft fractures (golden standard) .We examined quality of life with EuroQol 5D evaluation system. 90% of our patient in period 8 to 12 weeks achieved level 3 and 4. There statisticaly significant diference between examined gropu and golden standard, p<0,05. We concluded that EF tip Mitkovic as definiyive curative method improved the speed of lower limbs recovering functionality. Quality of life is very high, 84 points. The number of complications where expected and in proportion with literatures data.