<p class="abstract"><strong>Background:</strong> Platelet rich plasma is a recently introduced therapy for treatment of chronic painful conditions in orthopaedics, it acts mainly by promoting healing process. PRP has an increased concentration of platelets which initiate tissue repair by releasing growth factors.<span class="apple-converted-space"> </span>Increased concentrations of autologous platelets yield high concentrations of growth factors, subsequently leading to intensified healing of soft tissue on a cellular level. This study was conducted to evaluate the efficacy of platelet rich plasma injection in treatment of plantar fasciitis<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> This study was conducted on the patients coming to orthopaedic OPD at MGM medical college and hospital, kamothe, Navi Mumbai. Total of 40 planter fasciitis cases were taken in this study. Out these 40 patients 23 were Male and 17 were female. The mean age 45.85 (range 25-75). Patients were followed up for 3 months with regular interval and at each visit vas score was evaluated and noted.Total duration of study was 3 months from October 2016 to December 2016.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean pre injection vas score was 7.15 (Male – 7.13, Female – 6.70). The mean vas score at time of follow up after one week was 6.20 (Male – 6.22 Female – 6.18). The mean vas score at time of follow up after 6 week was 5.62 (Male – 5.66 Female – 5.70).  The mean vas score at time of follow up after 3 months was 3.20 (Male – 3.13 Female – 3.29)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> PRP in plantar fasciitis shows promising short term results providing patients with gradual sustained pain relief, improving daily function and lifestyle activity level. However long term results needs to be evaluated<span lang="EN-IN">.</span></p>

<p class="abstract"><strong>Background:</strong> Total knee arthroplasty (TKA) is now a reliable treatment for osteoarthritis.  The aim of this study was to study the clinical and functional outcome of total knee arthroplasty using knee society score and to find association between knee functional score and knee clinical score.</p><p class="abstract"><strong>Methods:</strong> We conducted a prospective analysis of 40 cases of osteoarthritis knee patients at a tertiary care centre in Mumbai over a period of two years.  Those patients who underwent total knee arthroplasty were assessed clinically and functionally using knee society score.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean preoperative knee clinical score (KCS) was 49.40±13.79 which was increased to a postoperative score of 86.08±5.64 at the end of 6 month. Similarly the mean preoperative knee functional score (KFS) was 32.75±11.79 which was increased to a postoperative score of 84.43±9.59 at the end of 6 month. There was significant increase in KCS and KFC score during follow up at 1, 3 and 6 month interval. There was significant association between knee functional score and knee clinical score at every interval.</p><p><strong>Conclusions:</strong> Total knee arthroplasty improves the functional ability of the patient and the ability of the patient to get back to pre-disease state, which is to have a pain free mobile joint, as reflected by the improvement in the post-op knee clinical score and knee functional score.</p>

<p class="abstract"><strong>Background:</strong> Comminuted intertrochanteric fractures with severe displacement are common in elderly patients. These patients have poor bone quality and conventional osteosynthetic procedures frequently lead to non-union and metal failure. The primary goals of treatment are stable fixation and early rehabilitation. There are a many treatment for intertrochanteric fractures but our study is on unstable intertrochanteric fractures which are challenging for a surgeon. The aim of this study was to evaluate the results of cemented bipolar hemiarthroplasty as an alternative to other treatment modalities such as DHS or PFN. 21 elderly patients with comminuted and unstable intertrochanteric fractures underwent cemented bipolar hemiarthroplasty<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> This study includes 22 cases of intratrochantric fracture. Mean age of patients was 73.3 (range 60 - 91). All patients are treated with bipolar hemiarthoplasty. Patients are followed up for a mean period of 6 months (range 3-9 months).<strong></strong></p><p class="abstract"><strong>Results:</strong> These patients were evaluated using the Harris hip scoring system. 21 out of 22 had excellent to fair outcomes<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> In our study of 22 patients, 21 had excellent to fair outcomes with primary cemented bipolar hemiarthroplasty. Bipolar hemiarthoplasty offers good functional outcome and early weight bearing and mobilization<span lang="EN-IN">.</span></p>

BACKGROUNDIntertrochanteric fractures are quite common in elderly patients by trivial trauma like falls due to weakness, muscle incoordination, poor vision, increased reaction time, etc. Intertrochanteric fractures can be broadly classified into stable and unstable types. Stable intertrochanteric fractures can be easily managed with satisfactory results, but the same cannot be done in unstable intertrochanteric fractures. The management of unstable intertrochanteric fractures is quite difficult due to unstable reduction of fracture and the stress of weight bearing. It is more difficult in elderly due to osteoporotic bone, poor bone quality, delayed healing, delayed mobilisation and poor compliance. There are many methods for operative management of intertrochanteric fractures mainly including DHS, PFN and hemiarthroplasty. This study will assess the functional outcome of cemented bipolar hemiarthroplasty with calcar reconstruction using head of femur as bone graft in unstable intertrochanteric fractures in elderly patients. AIMTo evaluate the outcome of primary bipolar hemiarthroplasty with the calcar reconstruction for treatment of intertrochanteric fractures using Harris Hip Score. MATERIALS AND METHODSIn this study, total 18 cases (Male 8 and Female 10) of intertrochanteric fractures were included. The mean age was 76.28 years (range 62 year -91 year). All these patients were treated by cemented bipolar hemiarthroplasty and reconstruction of calcar was done by using same femur head as bone graft. Patients were followed up for a mean period of 6 months (range -3 months to 9 months). RESULTSBipolar hemiarthroplasty with calcar reconstruction for unstable osteoporotic intertrochanteric fractures allows early weight bearing and faster recovery with less risk of mechanical failure. The time to full weight bearing, the rate of post-operative complications and functional outcome was much better after cemented bipolar arthroplasty. Mean Harris Hip Score was 80.55 (Range 71-92). CONCLUSIONPrimary cemented bipolar hemiarthroplasty with restoration of abductor mechanism and calcar reconstruction by using same femur head as bone graft is a good surgical method in management of unstable intertrochanteric fractures in elderly patients, as it allows early ambulation, good functional outcome and stable hemiarthroplasty with less complications.

The Proximal femur nail is an essential intramedullary device in the internal fixation of Peritrochanteric fractures of the femur. The evolution of the implant has proceeded from extramedullary plates to intramedullary nails which provide stable fixation of peritrochanteric femur fractures.