Vast number of children are born with congenital clubfoot every year. Incidence of CTEV being one per 1000 live births. Most of these are kids born in countries where they remain untreated or poorly treated reducing their quality of life. CTEV has been existent and known since time immemorial to mankind and so are the controversies it carries within itself. Many research has been done on these subjects and they all have contributed understanding the pathoanatomy and deciding upon the appropriate treatment. Still the literature states that treatment of club-foot is in general one of unvarying success. In our study we have recorded the functional outcome of serial cast correction of CTEV by Ponseti method.

The Posterior Cruciate ligament (PCL) is the stronger of the two cruciate ligaments of the knee. It is the primary constraint to the posterior tibial translation at 90º of knee flexion. PCL avulsion injuries are not uncommon in our country. We corrected such injuries with open reduction and internal fixation using Burks and Schaffe approach in 10 patients, followed up the patients adequately and reported their functional outcome in this study Keywords: Open reduction, internal fixation, Burks, Schaffer approach Introduction PCL injuries are estimated to account for 20% of knee ligament injuries. That incidence is higher especially in cases resulting from high-energy trauma, suchas in motorcycle and car accidents. However, in the presence of PCL bone avulsion from its tibial insertion, a consensus exists towards surgical intervention. Though there are controversies, most authors have recommended operative management of a displaced bony avulsion of the tibial insertion of the PCL. The surgical technique employed here consists of a posteromedial knee (Burks and Schaffer) approach, reinsertion and fixation of the PCL bone fragment into its anatomical bed located on posterior tibial surface and surgical fixation of the bony avulsion by 4mm cancellous screw .It has given almost uniformly excellent results, whereas non-surgical treatment has a significant incidence of morbidity in form of residual instability and early degenerative arthritis. Some orthopaedic surgeons are apprehensive about treating tibial avulsions of the PCL because of their unfamiliarity with the standard posterior approach to the knee and the potential for damage to the important neurovascular structures. Many series dealing with PCL injuries have followed the standard posterior approach through the popliteal fossa as described by Abbott, which is a complex approach requiring a meticulous and time consuming dissection of the neurovascular bundle in the popliteal fossa. Trickey described a modification of the above mentioned approach with the aim of decreasing the surgical dissection and time. However the medial head of gastronemius needed to be divided and the neurovascular bundle was still at risk due to its proximity. In Burks and Schaffer approach there is very minimal chance for neurovascular injury and safe exposure of the avulsed fragment. This procedure is reported as sufficient for reestablishing ligament integrity and function. To identify the results and gain further confidence about the surgical management of the avulsed PCL this study was conducted and found that Open Reduction & Internal Fixation through Burks and schaffer's approach can provide excellent outcome in the management of the avulsed PCL from tibial attachment.