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The aim of our study was to evaluate the role of medial opening wedge high tibial osteotomy (MOWHTO) in medial unicompartmental osteoarthritis of the knee and compare two different fixation devices for stability, duration, outcome, and complications. Methods: Fifty-seven patients (60 knees) of age < 60 yrs and either sex with medial unicompartmental osteoarthritis of the knee were divided into 2 groups. Twenty-four patients (25 knees) in Group I underwent MOWHTO using fixator-cum-distractor and 33 patients (35 knees) in Group II underwent MOWHTO using locking plate osteosynthesis. The results were assessed by VAS, KOOS and WOMAC score. Results: Mean age of the patients in Group I was 53.13 ± 5.20 years and 51.32 ± 6.91 years in Group II. Mean preoperative varus deviation was 11.97 ± 3.34 in Group I and 11.78 ± 3.05 in Group II which was corrected to 3.27 ± 1.75 and 3.56 ± 1.47 valgus respectively. All the patients achieved full weight bearing by 35th day postoperatively in Group I with the mean of 30.27 ± 2.71 days and 38th day in Group II with the mean of 30.32 ± 3.08. The VAS, KOOS, and WOMAC score improved significantly postoperatively in both the groups. Conclusion:The difference between the two methods of fixation was statistically insignificant. Fixatorcum-distractor is minimally invasive giving good control over the final limb alignment; however, it is cumbersome with less patient compliance and has complications like pin tract infection. Locking plate provides better fixation stability than fixator-cum-distractor even without bone grafting; however, it is an invasive procedure requiring more soft tissue exposure and precise amount of wedge removal.

<p class="abstract"><strong>Background:</strong> With increase in road traffic accidents, incidence of floating knee injuries is increasing day by day. Along with bony injuries, multiorgan injuries are generally present which require urgent intervention. Despite advance in surgical management and implants, achieving a good functional knee still remains a challenge to the surgeons.</p><p class="abstract"><strong>Methods:</strong> This retrospective study was conducted to assess management, functional outcome and complications of patient presenting with floating knee injury to a tertiary care centre. 22 patients with floating knee injury admitted in trauma centre from 2017 to 2019 were analysed and functional assessment was done.<strong></strong></p><p class="abstract"><strong>Results:</strong> Males with mean age 33.5 years were exclusively victims of road traffic accident. 14 patients presented with multisystem injury. After stabilization fractures were fixed with nails/plates/screws. Knee stiffness was most common complication seen in 37% cases. Functional assessment was done using modified Karlstrom Olerud criteria which revealed excellent results in 22.7% cases while poor results in 18.2% cases.</p><p><strong>Conclusions:</strong>Floating knee injury is not merely bony injury but a multisystem injury and should be managed on principles of Damage control Orthopaedics. Regarding bony injuries, achieving union and acceptable range of motion remains the prime target. </p>

Introduction- Aside from other multisystemic symptoms, musculoskeletal symptoms are quite common in patients with COVID-19. Post covid there has been a rapid rise in diffuse complaints of myalgia and joint pain. This study was designed to calculate the prevalence of musculoskeletal symptoms in post-COVID 19 cases. Material & Methods- This was a cross-sectional single-centre study carried out at Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana. Patients aged more than 18 years who were diagnosed with COVID 19 without any previous history of musculoskeletal manifestations and a minimum of 21 days of negative RT-PCR report were included in the study. Results- 249 patients with a history of Covid 19 participated in the study and presented with musculoskeletal manifestations. Lower back pain (37.3%) was the most common symptom in patients with post-covid musculoskeletal symptoms, followed by, shortness of breath (34.1%), arthralgia (33.7%), myalgia (31.4%), upper back pain (26.5%) and only a few patients with post-covid reactive arthritis (1.2%). Fatigue was reported by almost all the study subjects. Conclusion- Generalised fatigue, diffuse muscle and joint pain are quite frequently seen in post COVID patients which amounts to a huge patient load presenting to Orthopaedic clinics. Keywords- Covid19, Myalgia, Musculoskeletal, Arthralgia

<p class="abstract"><strong>Background:</strong> Vitamin D has a significant role to play in bone metabolism and neuromuscular function. Several researchers have indicated that vitamin D deficiency may be possibly related to chronic musculoskeletal pain including chronic low back pain (CLBP). Objectives of this present study were conducted to rule out the vitamin D deficiency in a patient can also be a cause of low backache other than various spinal disorders like PIVD, spondylolisthesis etc.  </p><p class="abstract"><strong>Methods:</strong> A total of 50 patients, of any age who visited the Department of Orthopedics outpatient/Emergency, with chief complaint of low backache without any low backache disease like PIVD and spondylolisthesis etc. were thoroughly interviewed and examined for any concomitant pathological disease of spine. Patient’s Blood sample of about 5 ml with syringe of 10 cc. were taken and the serum vitamin D level was assayed by “direct competitive chemiluminescence immunoassay” (CLIA). <strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 50 patients of low backache and vitamin D deficiency, 33 patients have good outcome in their pain after getting treatment in form of Vitamin D.  </p><p class="abstract"><strong>Conclusions:</strong> We concluded that the vitamin D plays a major role in low backache and after treatment there is significant improvement in low backache.  </p><p class="abstract"> </p>