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



Željko Paunović
Emergency Care Unit
NN Vojislav Ilic Street
18000 Nis


Copyright 2006 by Faculty  of Medicine, University of Nis


Zeljko Paunovic and Zoran Golubovic

Emergency Care Unit of Nis 1
Ortopedic Clinic Clinical Center of Nis 2

Fractures of the distal femur are difficult to treat because of the problems arising from anatomical reconstruction of the articular surfaces when good stabilization of the fragments must be achieved. Anatomical reconstruction is often not possible. Such fractures can be open, or associated with the soft tissue damage or major trauma to other parts of the body.
The paper presents a prospective and retrospective review of 10 patients with supracondylar femoral fractures treated with Mitkovic dynamic internal fixator, in the period between July 2002 and September 2003. Mean age at presentation was 54 years (range 19-74) with the male to female ratio of 1:1. The follow-up period was 12 months. Results were evaluated using the criteria described by Neer et al. (1967) whereby excellent results were achieved in five cases (50%), good in four (40%), and satisfactory in one (10%). At the follow-up, the average range of motion of the knee was 115. All patients had full extension and an average loss of flexion compared to the contralateral knee of 14. No deep infections were found in this series.
According  to the results and the simple tehnique of application, it can be concluded that Mitkovic dynamic internal fixator is successful and suitable for routine practise.
Acta Medica Medianae 2006;45(2):65-68.

Key words: femur, supracondylar fractures