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  • 1
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    Minimally invasive treatment of bilateral femoral shaft fractures in polytrauma patient using selfdinamisibile internal fixator: A case report
    National Library of Serbia ; 2013
    In:  Acta chirurgica Iugoslavica Vol. 60, No. 2 ( 2013), p. 59-64
    Details
    In: Acta chirurgica Iugoslavica, National Library of Serbia, Vol. 60, No. 2 ( 2013), p. 59-64
    Abstract: Pravilan izbor vremena i metode hirurskog lecenja preloma butne kosti kod politraumatizovanih u mnogome moze uticati na celokupni ishod lecenja politraumatizovanog i smanjenje invalidnosti. Cilj rada je da se prikaze lecenje bilateralnog preloma femura kod politraumatizovanog sa dominantnom povredom grudnog kosa samodinamizirajucim unutrasnjim fiksatorom Mitkovic (SIF) minimalno invazivnom tehnikom kao definitivnom metodom lecenja. U radu se prikazuje lecenje zenske osobe zenskog, stare 23 godine, koja je stradala kao suvozac u saobracajnoj nesreci sa obostranom kontuzijom pluca i obostranim zatvorenim prelomima dijafize butne kosti. Nakon reanimacije i lecenja dominante povrede grudnog kosa, hirursko lecenje obostranog preloma femura minimalno invazivnom tehniko uradjeno je cetvrtog dana od povrede. Duzina operacije 65 minuta, bez grubih manipulacija, nije bilo intraoperativne nadoknade krvi niti postoperativne drenaze rana. Postoperativni tok uredan. Pacijentkinja otpustena 10. postoperativnog dana. Postoperativno pracenje 9 meseci. Prelomi zarasli uz odlican funkcionalni rezultat. Primena samodinamizurajuceg unutrasnjeg fiksatora Mitkovic minimalno invazivnom tehnikom u lecenju bilateralnog preloma femura kod politraumatizovanih pokazala se pogodnom kod tesko povredjenih pacijenata jer predstavlja minimalno invazivnu metodu i pruza odlicne biomehanicke uslove za zarastanje preloma.
    Type of Medium: Online Resource
    ISSN: 0354-950X , 2406-0887
    URL: Article
    DOI: 10.2298/ACI1302059S
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2013
    detail.hit.zdb_id: 428721-6
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  • 2
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    Selfdynamisable internal fixator Mitkovic in treatment of periprosthetic supracondylar femoral fracture after total knee arthroplasty
    National Library of Serbia ; 2015
    In:  Acta chirurgica Iugoslavica Vol. 62, No. 1 ( 2015), p. 49-55
    Details
    In: Acta chirurgica Iugoslavica, National Library of Serbia, Vol. 62, No. 1 ( 2015), p. 49-55
    Abstract: nema
    Type of Medium: Online Resource
    ISSN: 0354-950X , 2406-0887
    URL: Article
    DOI: 10.2298/ACI1501049S
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2015
    detail.hit.zdb_id: 428721-6
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  • 3
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    External fixator by Mitkovic in the treatment of comminuted intraarticular fractures of the distal radius
    National Library of Serbia ; 2004
    In:  Medical review Vol. 57, No. 9-10 ( 2004), p. 473-479
    Details
    In: Medical review, National Library of Serbia, Vol. 57, No. 9-10 ( 2004), p. 473-479
    Abstract: Kominutivni intraartikularni prelomi distalnog okrajka radijusa predstavljaju izazov za ortopedskog hirurga. Cilj rada je da prikaze rezultate lecenja ovih preloma primenom spoljasnjeg fiksatora. U petogodisnjem periodu operativno je leceno 73 pacijenta sa zatvorenim prelomom distalnog okrajka radijusa grupe C po AO/ASIF klasifikaciji. Spoljasnji fiksator po Mitkovicu sa Kirsnerovim iglama aplikovan je kod 40 pacijenata. Spoljasnjim fiksatorom bez Kirsnerovih igala leceno je 33 pacijenta. Funkcionalni rezultati na kraju perioda pracenja bodovnim sistemom po Jakimu su: kod 39 pacijenata odlican, 19 dobar, 10 zadovoljavajuci i los kod 5 pacijenta. Zglobna inkongruencija distalnog okrajka radijusa 0 - 2 mm evidentirana je kod 22 pacijenta, a veca od 2 mm kod 3 pacijenata. Minimalni stepen posttraumatske artroze zabelezen je kod 21 pacijenta, a srednji stepen kod 5 pacijenata. Zarastanje preloma u anatomskoj poziciji predstavlja predispoziciju za ocuvanje funkcije rucnog zgloba i sake. Spoljasnji fiksator sa ili bez Kirsnerovih igala moze biti jedna od metoda lecenja ovih kompleksnih zglobnih preloma.
    Type of Medium: Online Resource
    ISSN: 0025-8105 , 1820-7383
    URL: Article
    DOI: 10.2298/MPNS0410473M
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2004
    detail.hit.zdb_id: 2381028-2
    detail.hit.zdb_id: 131108-6
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  • 4
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    Surgical treatment of the unstable type C pelvic injury
    National Library of Serbia ; 2013
    In:  Acta chirurgica Iugoslavica Vol. 60, No. 2 ( 2013), p. 53-58
    Details
    In: Acta chirurgica Iugoslavica, National Library of Serbia, Vol. 60, No. 2 ( 2013), p. 53-58
    Abstract: Rotationally and vertically unstable injuries to the pelvic ring (Type C) require stabilisation of the anterior and posterior pelvic ring complex. Inadequate treatment of these injuries leads to chronic instability of the pelvic ring, which can finally cause permanent disability. Open reduction and stable internal fixation of the anterior and posterior complex of unstable pelvic ring injuries are standard procedures in the treatment of hemodynamically stable patients with (Type C) pelvic injuries. Our aim is to show that this type of treatment achieves excellent and good results. All patients were operated on using the method of open reduction and anterior plate fixation of sacroiliac complex as well as fixation of the pubic symphisis. We present a retrospective study of the results concerning the treatment of 19 patients with (Type C ) unstable pelvic injuries. The average age of the patients was 43,21 years old. The final functional results, 2 years post-surgery according to the Majeed scoring system and the results were excellent in 11 (57.89%) and good in 8 (42.1%) patients. There were no bad results to report. Type C pelvic ring injuries are unstable and unless they are adequately treated, they can lead to permanent consequences. Surgical treatment that includes open reduction and stable internal fixation of the anterior and posterior pelvic ring complex leads to excellent and good results. The patients that were treated surgically by fixation of the anterior and posterior pelvic ring complex return to their everyday lives and work activities.
    Type of Medium: Online Resource
    ISSN: 0354-950X , 2406-0887
    URL: Article
    DOI: 10.2298/ACI1302053M
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2013
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  • 5
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    Knee angular deformity correction using unicorticotomy and callus distraction by external fixation method and presentation of new external fixation device for varus correction of proximal tibia
    National Library of Serbia ; 2013
    In:  Acta chirurgica Iugoslavica Vol. 60, No. 2 ( 2013), p. 103-108
    Details
    In: Acta chirurgica Iugoslavica, National Library of Serbia, Vol. 60, No. 2 ( 2013), p. 103-108
    Abstract: Prvi cilj ovog rada je prikazivanje rezultata korekcije angularnog deformiteta u predelu kolena primenom metode delimicnog presecanja kosti (hemikortikotomije) a zatim postepene distrakcije spoljnim fiksatorom. Drugi cilj je bio prikaz novog konstrukcionog resenja spoljnog fiksatora po Mitkovicu za resavanje problema korekcije varus deformiteta proksimalne tibije. Studija je radjena na Ortopedsko-traumatoloskoj klinici u Nisu na seriji od 70 pacijenata lecenih u periodu od 6,5 godina. Biomehanicko ispitivanje novog konstrukcionog resenja izvedeno je drvenom modelu tibije sa presecanjem 80% njene cirkumferencije. Ispitivanje je izvrseno na Masinskom fakultetu u Nisu. Klinicki rezultati korekcije varus i valgus deformiteta su dobijeni na seriji od 70 pacijenata. Na tibiji je izvrseno 58 hirurskih korekcija (49 varus i 9 valgus deformiteta) a na femuru 12 hirurskih korekcija (2 varus i 10 valgus deformiteta). Povrsna infekcija je bila registrovana kod 9 pacijenata i u svim slucajevima je bila sanirana bez vadjenja klinova. U toku biomehanickog ispitivanja novog konstrukcionog resenja spoljnog fiksatora dobijeni su sledeci rezultati: Pri dejstvu aksijalne sile od 690N (70kg) doslo je 0,30 mm do pomeranja proksimalnog fragmenta tibije u medijalnom delu presecanja drvenog modela tibije dok je u isto vreme do pomeranja u posteriornom delu gornjeg fragmenta modela tibije pomeranje bilo 0,26 mm. Na osnovu dobijenih rezultata moze se zakljuciti da je postepena korekcija metodom spoljne fiksacije, posle hemikortikotomije proksimalne tibije ili distalnog femura pouzdana metoda kako za korekciju varus tako i valgus deformiteta. Novo konstrukciono resenje uredjaja za spoljnu fiksaciju za korekciju varus deformiteta proksimalne tibije je sa biomehanicke tacke gledista pouzdano kako za kontrolu varus pozicije proksimalnog fragmenta tibije tako i za kontrolu njegove posteriorne pozicije.
    Type of Medium: Online Resource
    ISSN: 0354-950X , 2406-0887
    URL: Article
    DOI: 10.2298/ACI1302103M
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2013
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  • 6
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    Early clinical results of surgical treatment of patients with femoroacetabular impingement
    National Library of Serbia ; 2014
    In:  Srpski arhiv za celokupno lekarstvo Vol. 142, No. 5-6 ( 2014), p. 325-329
    Details
    In: Srpski arhiv za celokupno lekarstvo, National Library of Serbia, Vol. 142, No. 5-6 ( 2014), p. 325-329
    Abstract: Introduction. Surgical treatment is the treatment of choice in patients with symptoms and radiological signs of femoroacetabular impingement. Objective. Our experience and early results of surgical treatment of patients with signs of femoroacetabular impingement and early hip osteoarthritis are reported. Methods. The results of treatment of 21 patients aged 23-54 years with different types of femoroacetabular impingement are presented. Safe open surgical dislocation of the hip was performed in all patients. Before and after surgery, the WOMAC score was performed, clinical and radiographic data of the operated hips were evaluated and t-tests were used for statistical analyzes of data. Results. The WOMAC score improved from 70.5 points ( range 56.3 to 89.8 points) to 90.3 points (range 70.3 to 100 points) at one year of follow-up (p〈0.0001), anterior impingement test was negative in all operated cases, average hip internal rotation improved significantly, no complications were found, except trochanteric nonunion at the site of osteotomy, which was reaffixed. Conclusion. Postoperative results have shown that the surgical approach to treating patients with femoroacetabular impingement is the method of choice. Three operated patients, with advanced osteoarthritis of the hip, had to be converted to total hip replacement.
    Type of Medium: Online Resource
    ISSN: 0370-8179 , 2406-0895
    URL: Article
    DOI: 10.2298/SARH1406325M
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2014
    detail.hit.zdb_id: 2577665-4
    detail.hit.zdb_id: 128567-1
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  • 7
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    Operation time and intraoperative fluoroscopy time in different internal fixation methods for subtrochanteric fractures treatment
    National Library of Serbia ; 2018
    In:  Srpski arhiv za celokupno lekarstvo Vol. 146, No. 9-10 ( 2018), p. 543-548
    Details
    In: Srpski arhiv za celokupno lekarstvo, National Library of Serbia, Vol. 146, No. 9-10 ( 2018), p. 543-548
    Abstract: Introduction/Objective. Subtrochanteric fractures are unstable, tending to a varus, antecurvatum, and shortening deformity. The aim of this paper was to compare operation time and fluoroscopy time between different internal fixation methods in the treatment of subtrochanteric fractures. Method. The prospective study of the group of 27 patients with a subtrochanteric fracture treated by the SIF (selfdynamisable internal fixator with a trochanteric unit) method had been done. Operation time and fluoroscopy time values from this group were compared to the same parameters data from the literature for intramedullary (IM) nails, proximal femur locking plates (PF-LCP), dynamic condylar screws (DCS), and the 95?-angled blade plate. Results. In the SIF group, operation time was 62.2 (25?140) minutes and fluoroscopy time was 43 (20?95) s. Average operation time from the literature data was: 102.1 (43?181) minutes for IM nail, 94.2 (75?129) minutes for PF-LCP, 105.3 (70?166) minutes for DCS and 221.5 (171?272) minutes for blade plate. Average fluoroscopy time from the literature data was: 109.6 (34?250) seconds for IM nail, 102.3 (47?180) seconds for PF-LCP, 238 seconds for DCS. Operation time and intraoperative fluoroscopy time were higher in IM nail, PF-LCP, DCS and blade plate comparing to SIF method (p 〈 0.05). Conclusion. The above mentioned difference could be explained by a degree of required accuracy in the initial operative technique maneuvers, by used number of screws and by the type of the fracture reduction performance in different fixation methods. Operation time during IM nailing of subtrochanteric fractures sometimes can be shorter than average operation time in SIF method, what could be explained by the skill of the surgeon to perform as fast closed reduction for insertion of guide wire.
    Type of Medium: Online Resource
    ISSN: 0370-8179 , 2406-0895
    URL: Article
    DOI: 10.2298/SARH180220042M
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2018
    detail.hit.zdb_id: 2577665-4
    detail.hit.zdb_id: 128567-1
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  • 8
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    Comparative analysis of operation time and intraoperative fluoroscopy time in intramedullary and extramedullary fixation of trochanteric fractures
    National Library of Serbia ; 2022
    In:  Military Medical and Pharmaceutical Journal of Serbia Vol. 79, No. 2 ( 2022), p. 177-182
    Details
    In: Military Medical and Pharmaceutical Journal of Serbia, National Library of Serbia, Vol. 79, No. 2 ( 2022), p. 177-182
    Abstract: Background/Aim. Cephalomedullary and extramedullary methods are used for the internal fixation of trochanteric fractures. The usage of the third generation Gamma Nail (GN) is a gold standard in this kind of treatments. Self-dynamisable Internal Fixator (SIF) is an extramedullary implant for trochanteric fractures? treatment. The aim of this study was to compare these two methods regarding operation time and intraoperative fluoroscopy time. Methods. A total of 89 patients with a surgical treatment of a trochanteric fracture were included in this study. There were two groups of patients ? GN group (43 patients) and SIF group (46 patients). Results. Average operation times were 67.5 min (GN group) and 56.0 min (SIF group). Average intraoperative fluoroscopy times were 84.8 s (GN group) and 36.7 s (SIF group). The difference between the groups was statistically significant for both of the given parameters (p 〈 0.05). The correlation between operation time and intraoperative fluoroscopy time was confirmed in the SIF group (p 〈 0.05; r = 0.405), while it was not confirmed in the GN group (p 〉 0.05). There was a higher variability in the GN method than in the SIF method regarding the duration and type of repeated surgical maneuvers followed by X-ray checks. Conclusion. The number of planned surgical interventions per day could depend on the type of trochanteric fracture internal fixation (intramedullary or extramedullary). Certain additional analyses including radiation dose assessment are desirable to clarify if shorter intraoperative fluoroscopy time in the SIF method can have the influence regarding intraoperative X-ray protection clothing. If there is the need to activate dynamization in long femoral axis after initial static fixation in that axis, the SIF method provides its spontaneous activation several weeks after the surgery without the need neither for additional surgery nor for additional intraoperative fluoroscopy
    Type of Medium: Online Resource
    ISSN: 0042-8450 , 2406-0720
    URL: Article
    DOI: 10.2298/VSP200516094M
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2022
    detail.hit.zdb_id: 2169819-3
    detail.hit.zdb_id: 123795-0
    SSG: 15,3
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  • 9
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    Avascular necrosis of the femoral head in the patients with posterior wall acetabular fractures associated with dislocations of the hip
    National Library of Serbia ; 2013
    In:  Acta chirurgica Iugoslavica Vol. 60, No. 2 ( 2013), p. 65-69
    Details
    In: Acta chirurgica Iugoslavica, National Library of Serbia, Vol. 60, No. 2 ( 2013), p. 65-69
    Abstract: Introduction: Acetabular fractures are severe injuries, mostly occured in young patients after traffic accident or fall from heights. Of the all acetabular fractures, posterior wall acetabular fractures are the most often observed. Regarding to mechanism of the injury, about 30% of these fractures are associated with posterior hip dislocation. Material and methods: The incidence of AVN in 18 patients with posterior wall acetabular fractures associated with dislocations of the hip is presented. Thompson-Epstein Scale (type I-V) was used as the classification of the injury. Kocher-Langenbeck surgical approach was achieved in all patients. Results: Average following time after surgery was 22,66 months (8-36 months). After that period the incidence of femoral head AVN was observed in 33,3%6. Femoral head AVN was observed in 5,55%1 of patient who was treated by the reduction of hip dislocation in first 24 hours after injury, while in patients with later reduction, femoral head AVN were observed in 27,77%5. Conclusion: Posterior wall acetabular fractures associated with hip dislocation are severe injuries. Urgent, closed reduction of the hip, early definitive stable osteosynthesis of acetabulum and the experience of surgical team are factors that greatly decrease the possibility for AVN occurrence. Later reduction, comminution of posterior wall of the acetabulum (Thompson-Epstein III et IV), impaction, chondral lesion of the femoral head and associated fractures of femoral head, increase the possibility for AVN occurrence.
    Type of Medium: Online Resource
    ISSN: 0354-950X , 2406-0887
    URL: Article
    DOI: 10.2298/ACI1302065M
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2013
    detail.hit.zdb_id: 428721-6
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  • 10
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    New biological method of internal fixation of the femur
    National Library of Serbia ; 2005
    In:  Acta chirurgica Iugoslavica Vol. 52, No. 2 ( 2005), p. 113-116
    Details
    In: Acta chirurgica Iugoslavica, National Library of Serbia, Vol. 52, No. 2 ( 2005), p. 113-116
    Abstract: Medju glavnim zahtevima pri lecenju preloma su ocuvanje kako periostalne tako i intramedularne vaskularizacije kosti. Cilj ovog rada je da pokaze jednu novu metodu unutrasnje fiksacije koja ispunjava oba ta zahteva. Uredjaj kojim se ostvaruje ova metoda je unutrasnji fiksator po Mitkovicu, koji je pogodan za minimalno invazivnu aplikaciju i koji ima osobinu spontane dinamizacije. Ovaj aparat je ispitan biomehanicki i eksperimentalno na 60 zivotinja. Prikazuju se klinicki rezultati primene ovog uredjaja - unutrasnjeg fiksatora po Mitkovicu. Primenjen je na 267 bolesnika. Ovde se prikazuje serija od 92 bolesnika sa svezim prelomima, pseudoartrozama i posle neuspelog lecenja drugim metodama. Duzina pracenja je bila 3,1 godina (2-7 godina). Do zarastanja je doslo kod svih bolesnika za 3,5 meseca (2,7-9). Nije bilo komplikacija. Moze se zakljuciti da ova metoda pogodna za lecenje kako jednostavnih tako i kominutivnih preloma femura.
    Type of Medium: Online Resource
    ISSN: 0354-950X , 2406-0887
    URL: Article
    DOI: 10.2298/ACI0502113M
    Language: English
    Publisher: National Library of Serbia
    Publication Date: 2005
    detail.hit.zdb_id: 428721-6
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