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Aim: To assess the epidemiological aspects of fractures sustained during bike accidents. Study design: Retrospective study Place and duration of study: Department of Orthopaedic, M Islam Medical & Dental College Gujranwala from 1st June 2020 to 31st December 2021. Methodology: Five hundred patients of bike accidents were assessed through severity scoring system. Various bike types, fractures sustained, rate of mortality, helmet usage was assessed. Results: There were 54.6% males and 45.4% females. The mean age of the patients was 33.5±5.75 years. Ninety percent of patients wear no helmet. The presentation of the injuries showed that majority of the cases as 28.2% had facial injuries. Spinal and thoracic injury was common in multi trauma injuries. Conclusion: Bike accidents cause severe life threatening injuries which can be reduced through wearing helmets. Keywords: Bike accidents, fractures, multi trauma

Objective: To find the frequency of destructive hip disease in post intra-articular corticosteroid hip Injection. Study Design: Retrospective study Place and Duration of Study: Department of Orthopaedic, Sahara Medical College Narowal from 1st January 2021 to 31st December 2021. Methodology: One hundred and twenty cases of corticosteroid injection in intra-articular region were analyzed. The radiological imaging within 6-12 months was used for finding frequency of rapidly destructive arthrosis. Narrowing of joint space greater than fifty percent with a loss of cartilage up to 2mm within a year was used for rapidly destructive arthrosis diagnosis. Kallgren and Lawrence scoring system ranged between 0-4 was used. Results: There were 73.3% and 26.7% males and mean was 53.1±3.3 years. The steroidal injection was placed as 40mg triamcinolone-acetonide with 4 mL 1% lidocaine in 77.5% of cases. 20.8% rapidly destructive arthrosis in all the patients who were injected with corticosteroid. The progression of total hip arthroplasty was noticeable in 22.5%. Conclusion: A high frequency of destructive hip disease is observed in intra-articular corticosteroid hip injections. Keywords: Frequency, Destructive hip disease, Intra-articular corticosteroid hip injection

Objective: The purpose behind this study was to determine the incidence and risk factors associated with post tibial plateau fracture deep venous thrombosis (DVT) Materials and Methods: A prospective study was conducted in a tertiary care hospital, Indus Medical College & Hospital, Tando Muhammad Khan to recruit those patients who were undergoing orthopedic surgeries during the periods of eighteen months. All the adult patients of both gender planned for surgery due to tibial plateau fracture were enrolled under this study. Duplex ultrasound was performed to detect the presence of underlying postoperative DVT. Post-operatively patients were assessed for potential risk factors associated with higher incidence of DVT.  Results: For the final analysis, 344 patients were included among them majority were males (n = 219, 63.66%) with overall mean age and SD was 47.52±12.02 years. The most common cause of fracture was road traffic accident (n = 178, 51.74%). The overall incidence of post-operative DVT observed in our study was 9.30% (n = 32). Mean age 40.19±6.10 years, increased mean duration of operation 3.01±.078 hours, increased mean duration of post-hospitalization 18.49±7.37 days, raised mean WBC counts 20.12±5.64, and increased mean D-dimer levels 3.24±3.09 (laboratory cut off value 0.5mg/L) were significantly associated with higher incidence of DVT in patients operated for tibial plateau fractures. Conclusion: This prospective analysis has identified the potential modifiable risk factors associated with DVT. Consideration should be given to the preventable and treatable risk factors to prevent from the DVT associated complications.