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Acta Medica Medianae
Vol. 45
Number 2, April, 2006
UDK 61
YU ISSN 0365-4478


Predrag Stojiljkovic
Orthopedic Clinic Clinical Center
38 Dr Zoran Djindjic Street
18000 Nis, Serbia
Tel.: 018/ 230184,
mob: 062/ 353500
E-mail: peckytt@ni.sbb.co.yu



Copyright 2006 by Faculty  of Medicine, University of Nis


Predrag Stojiljkovic1, Zoran Golubovic1, Desimir Mladenovc1, Momcilo Todorovic1, Igor Kostic1, Dusan Vidovic1 and Danilo Stojiljkovic2

Orthopedic Clinic Clinical Center of Nis1
Surgery Clinic Clinical Center of Nis2

Traffic accidents represent one of the most common etiologic factors in polytrauma patients.
Successful treatment of polytrauma patients requires an approach based on prioritizing injuries.
An isolated injury of the musculosceletal system rarely poses any threat, but in association with multiple injuries, a musculosceletal injury has greater significance.
Proper management of tibial shaft fractures can greatly reduce the mortality and morbidity in polytrauma patients.
The paper presents our results in the treatment of the tibial shaft fracture in 30 polytrauma patients treated by Mitkovic external fixator M-20 at the Orthopedic and Traumatology Clinic – Clinical Center Nis in the 5-year period (January 1, 2000-December 12, 2004).
External fixation by the use of Mitkovic external fixator M-20 is a method of choice in the treatment of tibial shaft fractures in polytrauma patients.
This minimally invasive operative method is excellent for polytrauma patients, providing early mobility of injured patients. External fixation is simple for application and provides excellent biomechanical conditions for fracture healing
. Acta Medica Medianae 2006;45(2):21-26.

Key words: polytrauma, tibial shaft fracture, Mitkovic external fixator