Introduction: Orthopaedic injuries involving the olecranon are among the most often encountered in the emergency department. Objective: To determine the functional outcomes of displaced olecranon fracture fixed with intermedullary partially threaded screw augmented with tension band wiring Material and methods: This Descriptive/multicentric case series was conducted in Department of Orthopedics, Bahawal Victoria Hospital/Civil (Sadiq Abbasi) Hospital, Bahawalpur during June 2019 to June 2021. Patients who came through the emergency department and met the inclusion criteria were enrolled and given informed permission after clearance from the hospital's ethics committee. During general anesthesia or a biere’s block, all patients received tension band wire and intramedullary screw fixation. Results: Functional outcomes of displaced olecranon fracture fixed with intermedullary partially threaded screw augmented with tension band wiring was recorded as excellent in 57.39%(n=66), 32.17%(n=37) had good outcome, 10.44%(n=12) had fair outcome. Conclusion: We concluded that that functional outcomes of displaced olecranon fracture fixed with intermedullary partially threaded screw augmented with tension band wiring is good; however, validation is required through other local studies. Key words: Olecranon fracture, Intramedullary partially threaded screw, Tension band wiring, and Campbell’s posterolateral approach

Objectives: To compare the outcome of DHS (dynamic hip screw) vs cannulated screws in managing fracture of neck of femur. Study Design: Randomized controlled trial. Study Duration: 22-06-2021 to 21-12-2021 (6 months) Settings: Department of Orthopedic, D.G Khan Hospital, D.G Khan. Materials & Methods: A total of 60 patients with fresh fracture neck of femur, 18 to 60 years of age of both genders were included. The DCS group was managed by internal fixation with Dynamic hip screw and CS group was treated by internal fixation with cannulated screws. All patients were followed for 3 months for outcome. Results: Total 60 patients of fracture of femur neck was recruited. Mean age and mean duration of fracture was 44.42 ± 12.45 years and 10.67 ± 5.66 days. In DCS group, mean age and duration of fracture was 44.57 ±11.60 years and 10.23 ± 5.86 days respectively. In CS group, mean age and mean duration of fracture was 44.27 ± 13.46 years and 11.10 ± 5.51 days respectively. In DCS group, satisfactory outcome was found in 25 (83.33%) patients while in CS group, it was found in 13 (43.33%) patients. After applying chi-square test, it was noted that DCS group had significantly (P=0.003) higher proportion of satisfactory outcome as compared to CS group. Conclusion: Results of this study showed that DCS group had significantly higher proportion of satisfactory outcome as compared to CS group in cases of femur neck fractures. Most of the patients were between 41-60 years of age but difference of satisfactory outcome between DHS group and CS group was not significant. Regarding male patients, significantly higher rate of satisfactory outcome was noted in DHS group as compared to CS group. Keywords: femur neck fracture, dynamic hip screw, cancellous screw.