HPEAOMH HOTKOAEHHHE H PEmABAHE HPEAOMA CHOHHM

mHKCATOPOMHO MHTKOBHTY 3ATBOPEHOMMETOOM

SUMMARY
1 2 2 2 2 2 2
Bacnh A. , 1axmnh M. , Annh B. , Mnnonnh . , Boaonnh A. , He1ponnh . , 1axmnh
1
Mennnncxn ]axynrer Hpnmrnna, Koconcxa Mnrponnna
2
3pancrnenn Henrap Koconcxa Mnrponnna, Oeene opronenje
CAETAK
The Iractures oI the tibia are mainly the Iractures oI the long bones. In the department oI the orthopedic in
Kosovska Mitrovica, 45 oI patient with Iracture oI the lower leg had been treated with using the closed method. It had been
the linear Iractures in the 84 oI the treated cases.The most number oI the patients were treated in the hospital Ior 5 days. In
our healing we are noticed the Iolowed complications in the treated patients: the major inIections around the pin were in the
4 oI the treated patients (2 patients), the Iat embolismwere in the 2 oI the treated patients (1 patient), the pseudoarthrosis
were in the 4 oI the treated patients (2 patients). Aplication the extraIocal Iixat r by Mitkovich using the closed method
made possible that the Iracture became stable in Iast and simply way with the minnor invasion at the soIt tissues and with this
are made the conditions Ior splicing oI the Iractures .
Key words: Fractures oI the lower leg, ExtraIocal Iixat r by Mitkovich.

s

o
o
Hpenomn rnnje cy najuemhn npenomn yrnx xocrnjy. Ha oeneny opronenje y Koconcxoj Mnrponnnn, 45
nannjenara ca npenomomnorxonennne neueno je excrpa]oxannnm ]nxcaropomno Mnrxonnhy sarnopenommeroom. V
84 cnyuajena nnn cy nnneapnn npenomn. Hajnehnpoj nannjenara (62) no je xocnnrannsonan5 ana. 3aenexnnn
cmo cneehe xomnnnxannje: majop nn]exnnjy oxo xnnnona 4 (2 nannjenra), macna emonnja 2 (1 nannjenr), nceyo-
aprpasy je nmano 4 (2 nannjenra), Annnxannja sarnopenom meroom omoryhana psy n jenocranny crannnsannjy
npenoma ca najmanomnnnasnnnomhy na mexa rxnna unme ce crnapajy onrnmannn ycnonn sa sapacrane npenoma.
Knyune peun: Hpenomn norxonennne, Excra]oxannn ]nxcarop no Mnrxonnhy.
THE FRACTURES OF THE LOWER LEG AND HEALTHING THE FRACTURES
WITH EXSTERNALFIKSATER BYMITKOVICH USING THE CLOSED
1
Medical Iaculty Pristina, Kosovska Mitrovica
2
Health Center Kosovska Mitrovica, Department oI Orthopaedics
1 2 2 2 2 2 2
Bacnh A. , 1axmnh M. , Annh B. , Mnnonnh . , Boaonnh A. , He1ponnh . , 1axmnh
YBO
Hpenomn norxonennne cy najuemhn npenomn
yrnx xocrnjy. Anaromcxn nonoxaj rnnje re cy anrepo-
menjanna crpana n npena nnnna noxpnnenn camo xo-
xom unnn je nynnepannnnm napounro npn npexrnom
ejcrny cnne mro je najuemhe y caopahajnnm yecnma,
cnopryn cnaxonennoj rpaymn (1).
Ko ejcrna nennxnx cnna n nonpea narpennm
opyxjemnajuemhe nacrajy ornopennnpenomn ca nennxom
xomnnynnjom n omrehenem mexnx rxnna. Onn npenomn
ce remxo neue n npahenn cy mnoropojnnm xomnnnxa-
nnjama mro ce nexaa sanpmn n rpajnnm nnnannnrerom
(9).
Vneueny npenoma norxonennne xopncre ce:
Heonepa1nnne ue1oe
- rnncana nmonnnsannja
- xonrnnynpana xomrana rpaxnnja n rnncana
nmonnnsannja
Onepa1nnne ue1oe
- cnnresa ]parmenara nnouom n mpa]onnma
- meroa nnrpameynapne ]nxcannje
- meroa excrpa]oxanne ]nxcannje
Ocnonnn npnnnnn xo npenoma norxonennne je
crannnsannja rnnje xao nocehe xocrn (8).
Kojy he meroy oneparnnnor neuena opronecxn
xnpypr a nsaepe sanncn o neronor ncxycrna, snana
ann ce mopa npnsnarn n o rora mra onnnna nma o
ocreocnnrercxor marepnjana na pacnonarany. unnennna
je a cmo sema y rpansnnnjn, sema xoja je yrnm canx-
nnjama n parom ocnpomamena raxo a nema moryhnocrn
a cnaxa onnnna naann najcanpemennjn ocreocnnrer-
cxn marepnjan, onpemy n oesen eyxannjy opronec-
xnx xnpypra.
Ha Oeeny opronenje y Koconcxoj Mnrponn-
nn npenome norxonennne neunnn cmo excrpa]oxannnm
]nxcaropom no Mnrxonnhy ca xojnma cmo neh nmann ns-
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2008; 36 (3-4) 063-065 PRAXIS MEDICA
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nanpena ncxycrna y neueny nonpea roxom HATO arpe-
cnje na namy semy.
Ono je ynnnarepannn anapar xojn ce cacrojn o
nenrpannor nocaua n nonpeunnx nacranaxa na xojnma ce
nanase xneme sa ]nxcnpane camonapesyjyhnx xnnnona.
Koncrpyxnnja anapara omoryhana jenocranny annnxa-
nnjy xnnnona y xocr y rorono cnaxoj nosnnnjn naxon uera
ce nocrana pam anapara n crannnsyje npenom (5). Ba-
pnjanre onor anapara mory a ce nocrane na cne yre xo-
crn. Anapar noceyje n oarax sa xomnpecnjy n ncrpax-
nnjy mro je o nocene naxnocrn xo ycnopenor sapacra-
na n nceyoaprpose. Hena anapara je npnxnarnna n na-
xon cxnana moxe a ce annnxyje pyrom nannjenry. 3a-
mro ne pehn anapar je nponsno omahe namern n rexno-
nornje.
MATEPH1AA H METOE
Marepnjan sa onaj pa je onjenns oneparnnnor
nporoxona sa nepno 2000-2007 ronna n ncropnje one-
crn onepncannx nannjenara na oeeny opronenje
3pancrnenor nenrpa Koconcxa Mnrponnna.
3a onaj nepno nno je 68 nannjenara ca npeno-
mom norxonennne n oyxnara nannjenre ca ornopennm n
sarnopennmnpenomnma.
Hpemer onor paa cy nannjenrn ca sarnopennm
npenomnma norxonennne xo xojnx je excrpa]oxannn ]n-
xcarop no Mnrxonnhy annnxonan sarnopenom meroom n
camo je cermenr onmnnje crynje y npenonany onor
]nxcaropa.
Vxynno je na onaj naunn onepncano 45 nannje-
nara.
Meroa ce cacrojn y rome a ce camonapesyjyhn
xnnnonn nepxyrano ]nxcnpajy y xocr es 'ornapana' so-
ne npenoma naxon uera ce nocrana ]nxcarop n cran-
nnsyje npenom.
Ocnonnn npnnnnn xojn nac je nono a npnme-
nnmo ony meroy no je raj a sarnopenn npenom ne npe-
rnapamoy ornopennn rnme nonehamopoj xomnnnxannja.
pyrn nam cran je no a xo npenoma y ncran-
nom eny rnnje xojn nma cnenn]nuny nacxynapnsannjy
oneparnnnnm pesom n mannnynannjom ne xomnpomnryje-
mo npeocrany nepnocranny nacxynapnsannjy mro nemn-
nonno nony nceyoaprposy.
Ko nannjenrn xo xojnx cmo nmann saonoa-
najyhy nosnnnjy ]parmenara y rnncanoj nmonnnsannjn,
anapar cmo annnxonann ne cxnajyhn rnncany nmon-
nnsannjy.
Ko ocrannx nannjenara xnnnone cmo ]nxcnpa-
nn y xocr, cnenna je penosnnnja n nocranan anapar.
Hannjenrn cy onepncann y cnnnannoj anecresn-
jn, nocroneparnnno je pahen xonrponnn cnnmax n yxonn-
xo nosnnnja ]parmenara nnje nna saonoanajyha npn-
crynann cmo xopexnnjn y anecresnjn xoja je jom eno-
nana.
Cnnxa 1. - Cnupa.uu
uecmaou.uu npe.o+
nomro.euue.
Cnnxa 2. - Cee+eumuu
oeocmpyru npe.o+
nomro.euue.
Cnnxa 4. - Ercmpaqora.uu qurcamop
no Mumroeuhy sa noo.armuy.
Cnnxa 3. - Ercmpaqora.uu qurcamop
no Mumroeuhy sa nomro.euuy.
Cnnxa 5. - Ercmpaqora.uu qurcamop no Mumroeuhy
an.uroeau ua nomro.euuy sameopeuo+ +emooo+
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2008; 36 (3-4) 063-065 PRAXIS MEDICA
PE3YATATH PAA H HCKYCH1A
Hannjenrn mymxor nona nnn cy sacrynenn
y 84 cnyuajena (38 nannjenara)
nemxnnnona. Jean nannjenr je nmao macny emonnjy xo-
ja je na npeme njarnocrnxonana n neuene ce sanpmnno
saonoanajyhe. noje nannjenara (4) nmano je nceyo-
aprposy.Jeny nceyoaprposy pemnnn cmo pecexnnjom
]nyne n rnncomsa xo a xo pyror nannjenra ypahena je
pecexnnja ]nyne n nocranen excrpa]oxannn anapar
no Hnnsapony.
nnamnsannja anapara sanncnna je o rnna npe-
noma n panorpa]cxnx snaxona xojn cy noxasnnann crna-
pane xanyca.
Hpenomn cy sapacrann y npocexy naxon 4 mece-
na. unsnxanna repannja je nna oanesnn eoneuena.
3AKYHAK
Annnxannja excra]oxannor ]nxcaropa no Mn-
rxonnhy sarnopenom meroom omoryhana psy n jeno-
cranny npnmeny n crannnsannjy npenomennx ]par-
menara rnnje ca najmanomnnnasnnnomhy na rxnno.
Onom meroom moryhe cy xopexnnje nosnnnje
npenomennx ]parmenara xao n nnamnsannja npeno-
ma, mroje onennxe naxnocrnroxomneuena.
AHTEPATYPA
1. Banovic D. i sar.: Traumatologija kostano - zglobnog sistema,
Zavod za udzbenike i nastavna sredstva; Beograd, 1998.
2. Bascarevic LJ. i sar.: Traumatologija lokomtornog sistem,
Pristina, 2002.
3. Butkovic: Indikaciona podrucja konzervativnog i operativ-
nog lecenja preloma potkolenice, Doktorska disertacija -
Beograd, 1984.
4. Grubor P.: EkstaIokalni Iiksator u lecenju ratnih povreda,
Medicinska knjiga, Banja Luka, 1999.
5. Mitkovic M.: Spoljasnja Iiksacija u traumatologiji - razvoj i
primena aparata autora, Prosveta Nis 1998.
6. MoorcroIt C.I., Thomas P.B., Ogrodnik P.J., Verborg S.A.: A
device Ior improved reduction oI tibial Iractures treated with
external Iixation. Proc Inst Mech Eng 2000.
7. Muler M.E., Schneider R., Algower M., Willenger H.: Udz-
benik osteosinteze, AO metoda, Jugoslovenska naklada, Za-
greb, 1981.
8. HelIet D.L., Suk M.: Minimally invasive percutaneus plate
osteosythesis oI Iracture oI the distal tibia. Insiv Course Lect.
2004.
9. Hente R. et at.: Fracture healing oI the sheep tibia treated us-
ing a unilateral external Iixation: comparison a static and dy-
namic Iixation. Injury, 1999;
Ta6eaa 1. - Bpe+e xocnuma.usaufe y oo.uuu.
Bpene xocnnrainsann|e Bpo| %
3 ana
4 ana
5 ana
6 ana
10 ana
19 ana
3
5
28
7
1
1
6,67
11,11
62,22
15,56
2,22
2,22
Hajnehn poj nannjenara (28) no je xocnnra-
nnsonan 5 ana. Jean nannjenr nmao je macny emonnjy
xao xomnnnxannjy n nerona xocnnrannsannja je rpajana
19 ana.
Cermenrnn npenomn nnn cy xo 2 nannjenara
(4), xomnnyrnnnn npenomn nnn cy xo 5 nannjenara
(11) najuemhncy nnn nnneapnn 38 nannjenara (85).
Ta6eaa 2. - Hpe.o+u no AO r.acuquraufu.
Bpcra npeiona Bpo| %
Anneapnn
Konnnyrnrnn
Cernenrnn
38
5
2
84,44
11,12
4,44
Ta6eaa 3. - Ko+n.uraufe .e:ena
Bpcra konninkann|e Bpo| %
Macna emonnja
Hceyoaprposa
Majop nn]exnnja oxo xnnnona
Hema xomnnnxannja
1
2
2
40
2,22
4,44
4,44
88,89
O xomnnnxannja nmano cmo majop nn]exnnjy
oxo xnnnona xo 2 nannjenara (4) n ro je pemeno nahe-
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2008; 36 (3-4) 063-065 PRAXIS MEDICA
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