Osteopoikilija je jedna manje poznata anomalija koštanog razvoja koja se pojavljuje familijarno. Kao posebnu pojavu prvi je opisao 1915 god. Albers Schonberg a u isto vreme nezavisno od njega opisuje osteopoikiliju Ledoux Lebard. Voorhoeve 1924 god. Opisuje ovo stanje kao Osteopathia striata (Voorhoev –a bolest).

Osteopoikilija pripada grupi nesavršenih osteogeneza koja se karakterišu u nedovoljnoj diferencijaciji spongiozne kosti zbog čega se u odgovarajućim delovima skeleta pojavljuju mnogobrojna ognjišta osteoskleroze. Oboljenje je nasledno i postoje brojni opisi familijarnog pojavljivanja u nekoliko pokoljenja jedne porodice. U ovom radu prikazujemo jedan slučaj osteopoikilije koji je otkriven kod muškarca starosti 25 godina, koji se javio ambulantno u Traumatološku službu KBC Zemun.

Fractures in the level of the ankle are among the most common fractures. A separate entity is associated fractures at the level of the ankle joint with fractures of the lower leg. The aim is to determine what the impact of certain preoperative factors [length preoperative period, the complications of surgical treatment and antibiotics] the length of postoperative hospital stays. This retrospective study included patients were treated surgically with associated fracture of the lower leg and ankle in the Department of Orthopedics and grammatology KBC Zemun between 2003rd by 2011. and were divided into three groups according to the duration of preoperative hospital stay. The length of postoperative hospital stay significantly affect the time to completion of the operation (ρ = 0.405, p <0.01) for the occurrence of complications (ρ = 0.465, p <0.01) and duration of antibiotic use (ρ = 0.580, p <0, 01). The average length of hospital stay in patients with complications was 19 registered (Med 18) days, whereas in patients without complications 10 registered (Med 9) days. There was a statistically significant difference in the length of hospital recovery compared to various complications (log rank = 35.74, DF = 5, p <0, 01). It is these fractures that previously disposed of as such a treatment leads to less frequent complications, a shorter stay in hospital patients and therefore lower costs of the treatment.

The aim of this paper is to show our results in the treatment of femur neck fractures in patients on hemodialysis. The femur neck fractures are more common in patients on hemodialysis than in patients without chronic renal failure. From the year 2000. to 2012, in the Traumatologic center of the CHC Zemun, 12 patients in terminal renal failure with femur neck fractures, were treated. The postoperative rehabilitation, occurence of complications and survival rates were followed. The operative treatment of femur neck fractures by implantation of endoprosthesis in patients with chronic renal failure, although followed by frequent complications, gives the patient a chance to return to normal activity.

The most common and basic reason for belowknee amputation is bad nutrition of disstalnih parts of extremities, destabilization of tissue and appearing of trophic demerits,which with second infection brings gangrene. Trauma is indicated as one of often causers for amputation extremities, and in a war-conditions has an epidemical character. The goal of our article is to show experience of KBC Zemun and studing the vitality of remainded part of leg after the below-knee amputation during the war trauma. This study included 78 amputated persons in the time from 1991 to 1995, who were treated on the surgical ward in KBC Zemun. A very high percent of amputation was below-knee amputations (53,8%). In the time of surgery recovery, in 21 case the patients have had an infection of the reminded part of the leg and their ischemia. In this cases the patient were surgical treated (antibiotics, flection and HBO). Of the totally number of after surgery complicated patients, 52,3 % patients after the therapy where improving and 47,6 % of them were reamputated (in most of cases was done because of infection of bones and soft tissues).

Astley Cooper has described a technique, the reposition of anterior shoulder dislocation by the frontal arm elevation, on 1825. The author’s aim was to show his own results when reposing frontal shoulder dislocation by this simple and secure technique. In the KBC Zemun emergency service, from 2003 to 2007, by this technique, 32 anterior shoulder dislocations with or without fractures of the greater tuberosity fracture, were reposed. The reposition was successful in all dislocations, and total short lasting anesthesia was used to two patients (3 dislocations). The basic advantage of this technique is that it is physiological, simple and does not demand strong physical force, and the neuron-bone complications were not recorded.

Tracking of anatomical and functional results obtained after non-surgical treatment of the distal radius including 51 patients. Tracking of the results was based upon Anatomical Score System and Gartland-Werley Score System. The final numerical results obtained through Anatomical Score were the following:excellent in 12 cases (23.52%), good in 30 cases (58.82%), satisfactory in 8 cases (15.68%), dissatisfactory in 1 case (1.96%). According to the Gartland-Werley Score System, the final results included: excellent in 19 cases (37.25%), good in 24 cases (47.00%), satisfactory in 7 cases (13.72%), dissatisfactory in 1 case (1.96%). This work also presents correlation between Residual Deformity score, Subjective Hardship score and Objective dysfunction, with the results obtained by Anatomical score and Gartland-Werley total score. The possibility of dissatisfactory results obtained by radiological screening followed by dissatisfactory outcome is described in literature; however, dissatisfactory screening results could be found in up to 31.7% of cases with satisfactory clinical findings. Our work records 15.7% of the latter cases. We might say that non-surgical treatment is not to be accepted as the only and exclusive approach to distal radius fracture. Thus, proper evaluation is mandatory.