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.

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). 

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.

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.