[Early complications in elderly patients opereted because of the fracture of the femoral neck].

UNLABELLED: Fractures of the femoral neck are the most common with the older population, and in this population are dominantly made by the forces of low strength intensity. AIM: To show early complications ensued during the first 6 weeks after the surgical treatment of the older patients with fractures of the femoral neck. MATERIALS AND METHOD: 315 hospitalised patients are included within the retrospective analysis who are operated because of the fracture of the femoral neck in KBC Bezanijska Kosa in Belgrade, in the period 2007-2010. RESULTS: Early complications noted during the first 6 weeks after the surgery were: death of the patient 17 (5.3%), dislocation of the endoprosthesis 12 (3.8%), wound infection 8 (2.5%), pulmonary embolism 1 (0.3%), deep-vein thrombosis 6 (1.9%), lesion n. peroneusa 4 (1.2%), paraplegia 1 (0.3%), decubital wounds of sacral region 15 (4.8%). CONCLUSION: Aloplastic surgery of dislocated fractures of the femoral neck with the older population enables relatively fast mobilisation of the patients, early rehabilitation of the patients with acceptable number of the early complications.

[Minimal-incision total hip arthoplasty: complications].

Minimally invasive hip surgery techniques have been proposed as an alternative to conventional soft tissue exposure total hip arthroplasty. Purposed advantages of the technique included less blood loss, faster recovery, shoter stay in hospital and better cosmetical result. During the years good results have been presented by many authors, and serious complications have been found only in a few articles. But, some papers reported a catastrofic complications of the MIS procedures. Our intention is to present complication which had occured in our experience with MIS total hip replacement. Retrospective study involved 215 patients (230 hips). All patients, of mean age 55.7 years, obtained fiber metal midcoated or fiber metal taper femoral stem and identical fiber metal coated acetabular shell with polyethylene or ceramic insert. The goal of the study was to evaluate intraoperative and early postoperative complications: bone fractures and/or implant, blood loss, dislocations, prolonged bleeding, loss of component position in 6 week postop. period, infections, and thromboembolism. The complications we had may occure with any type of operating technique. The purpose of the study was not either to condone or condemn MIS techniques but to shaw the complications that had occurred in our experience.

[Minimal incision total hip joint arthroplasty].

"Minimaly-invasive" total joint arthroplasty have been widely introduced to the orthopaedic community several years ago. The concept has received a great attention and has been greeted variably with enthusiasm, concern, and skepticism. Numerous meetings, scientific exibits, symposia and congreses has been taking place all around the world. Whether this represents the future of orthopaedic surgery or just a fad, the term "minimaly-invasive" or "minimaly-incision" are yet to be clear and establish. Our intention is to present 72 of first 100 cases of total hip arthroplasty performed by "minimaly-incision" surgery. In our opinion first results are positve and we intend to continue with this kind of surgery.

[Antebrachial reverse island flap of the posterior interosseus artery pedicle for reconstruction of thumb defects].

Fasciocutaneous lobe on AIP ( a. interossea posterior) is characterized by thin skin, good texture and satisfactory pedicle lenght, which enables the repair of numerous hand defects. It can be either loose or reversed on the pedicle. We present here 2 neglected cases of thumb injury in which there was a need to compensate the full thickness of the skin. We believe that thumb defects can be repaired with both functionally and esthetically good effects using AIP lobe.

[Validity of clinical and ultrasound findings in relation to arthroscopic findings of new injuries of the anterior cruciate ligament of the knee].

Injuries of anterior cruciate ligament are constantly present in sports, but also in common life activities. Diagnostic procedures which are available today in diagnosis and estimation of severity of intraarticular knee structures, are numerous, but they are not available, plausibile and valid in the same manner. Aim of this study was to compare diagnostic validity of clinic and ultrasound examination related to arthroscopy in "fresh trauma: of anterior cruciate ligament This prospective study contains analysis 205 hospitalised patients treated from 2004 to 2006 at IOS "Banjica" Beograd and SOSH "Decedra" Beograd in matter of arthroscopy. Before the arthroscopy, clinical and ultrasound examination was performed. Values of sensitivity(87.1%), specificity(97.7%), positive (98.2%) and negative predictive value (84.3%) of ultrasound examination are affirmative in high reliability of this diagnostic procedure in a diagnosis of fresh lesions of anterior cruciate ligament.