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<p class="abstract"><strong>Background:</strong> Supracondylar fractures of the humerus are the most common elbow fracture in children of the age group 4-12 years. The modern approach for its treatment includes closed reduction or open reduction and internal fixation with K wires. The aim of the present study was to evaluate the clinical and radiological results of children who were treated with the two surgical approaches<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> In our institute children who underwent surgical treatment for supracondylar humeral fractures by closed reduction or open reduction and internal fixation with K wires and whose data were available with regular follow-up of at least 1 year were included in the study. Each group included 25 children in each. Clinical and radiological outcomes were evaluated and compared among the study groups.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean age of the patients in both the groups were 6.84 and 6.64 in group 1 and group 2 respectively. Fractures were more in boys compared to girls in both the groups. Most of the fractures were seen on left side with posteromedial displacement of distal fragment in almost 80% in both the groups. Mean change in Baumann’s angle (BA), carrying angle and range of motion (ROM) as compared to normal side in both the groups after 3^rd and 9^th month of follow ups was found to be not statistically significant. Overall result according to Flynn’s criteria was 60% excellent in group 1 as compared to 52% in group 2. Mean satisfaction score was also more in group 1 children when compared to group 2<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Closed reduction with internal fixation with K wires was found to be a better choice of treatment with good functional results<span lang="EN-IN">.</span></p>

<p class="abstract"><strong>Background:</strong> Management of open fractures of long bones by the traditional systems is very complex. Limb reconstruction system (LRS) was considered as very effective, and offers rigid stabilization of fracture fragments and with an easy access to soft tissue care. The aim of the study was to determine the efficacy of LRS for treatment of open fractures of long bones<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> This prospective study included 30 cases of both the sexes aged between 11-60 years. Patients with closed fractures of long bones and fractures treated conservatively were excluded from the study. Their clinical and radiological evaluation will be done at presentation and certain specific intervals and evaluated for signs of bone union and associated complications.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean age of the patients participated in the study was 35.6 years with male predominance (93.3%). All patients (100%) were injured by road traffic accidents. 50% of the cases were of Grade 2 type of fractures. The most common complication encountered was pin tract infections seen in 8 cases. We had good results in 24 patients, moderate in 5 and poor in 1 patient using modified Anderson and Hutchinson’s criteria<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> LRS is an alternative to the traditional system of fixation in the primary management of open fractures of long bones. It is less cumbersome to the patient and more patient friendly in terms of reducing financial burden also. It is a definitive single stage procedure<span lang="EN-IN">.</span></p><p> </p>