Aim: The purpose of the present study is to assess the outcome of treating Gustilo Anderson open Type 3A mid shaft tibia fracture with intramedullary interlocking nail as well as external fixator. Methodology: In this prospective cohort study, adult patients (≥18 years-old) with Gustilo 3A open tibia shaft fractures treated by either intramedullary nail or external fixation (EF) were involved. This study was directed for a period of twelve months from March 2021 to February 2022. After registration, patients were followed-up at 2, 6, 10, 14, and 18 weeks postoperatively. At these appointments, degree of callus formation at fracture site and surgical problems (e.g. infection, limb length discrepancy, malalignment) were assessed. Results: Out of 50 patients registered in the study, 26 were treated by IM nail and 24 by external fixation. Twenty-four patients (92.3%) in the IM nail group and 6 (25%) in the external fixation group had callus formation by the 10th week. The mean times to callus formation in the IM nail group and external fixation group were 8.2±2.6 weeks and 14.7±3.3 weeks, individually (p=0.000). Two (7.7%) patients in the IM nail group and 3 (12.5%) in the external fixation group developed infection (p=0.661).

Introduction: Deformity of the neck and limited motion are commonly seen in pediatric orthopedics. The problem may be simply due to an intrinsic cervical issue or may be the manifestation of other underlying problems. To make a diagnosis of the nature and cause of neck deformity in the newborn is very important. Congenital torticollis is a condition that results in the deviation of a child’s head to one side, with accompanying limitation in the range of motion of the neck. Aims and objective: Objective: To investigate the clinical features and outcome of congenital muscular torticollis (CMT) with passive neck motion limitation according to whether the finding on ultrasonography (US) is normal or abnormal. Material and methods: A total of 32 patients with Congenital Muscular Torticollis (CMT) who met eligibility criteria were included: age at presentation 6 month to 1 year, limitation of passive neck rotation or lateral flexion were included in this study. Patients underwent physiotherapy and were followed-up monthly. The clinical research with torticollis at the Variety Center for Craniofacial Rehabilitation was done from 2019 to 2021 retrospectively. Clinical records, standardized medical photographs, and cephalometric radiographs of the affected patients were examined.

Background: Bimalleolar fractures are commonly encountered fractures in the orthopaedic emergency. The goals in the treatment of these fractures are aimed at perfect anatomical reduction which could be obtained by open reduction and internal fixation.Methods: A prospective study conducted in the department of orthopedics, Government Medical College, Jammu, Jammu and Kashmir from June 2019 to December 2020 in patients with bimalleolar fracture. Clinical history, socio-demographic profile, and Lauge Hansen classification was noted for all patients. Functional outcome was evaluated 6 months postoperatively using the Baird and Jackson criteria.Results: Mean time for radiological union was 18 weeks. Baired and Jackson scoring was used with excellent results in 21 patients (43.75%), good results in 19 patients (39.58%), fair results in 8 patients (16.66) while no patients had poor outcome.Conclusions: In our study we concluded that open reduction and internal fixation (ORIF) in bimalleolar fractures with plating for lateral malleolus and cannulated cancellous screw (CCS) for medial malleolus is an effective treatment modality with very good results in experienced hands.