Subtrochanteric fractures these days are about one quarter of all femur fractures. Mostly, they occur with the elderly which demand certain speed when it comes to operation procedures and quick verticalisation. These are fractures that extend from the distal part of the small trochanter and about 5 cm distally. A 88 year old patient underwent surgery in our hospital because of the fracture of the femur, sustained in a fall. On the basis of anesthesiology overview it was concluded that there is a very high risk. Stabilization of the fracture with self-locking wedge was done. Not in this or in other cases is not necessary to achieve perfect anatomical reposition, axle and length of the extremities are enough. This is achieved with the stabilization of the proximal and distal screws. Method of administration justifies its use for the most critical moments in the surgical treatment of the elderly population: the speed of execution and minimal approach.

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.