Titanium plates and screws (implants) developed indigenously by DRDO were used to manage 20 patients with maxillofacial fractures. Efficacy of these implants was evaluated clinically and radiographically so that these can be put into use on routine basis. In 18 patients recovery was uneventful. Extended maxillomandibullar fIXation was employed for 3 to 7 days only depending on the degree and displacement of fractures and; mobilisation of jaw was allowed fully from 7th post operative day onwards. 2 patients developed discharging sinus at the fractured mandibular angle region which was due to impacted mandibular third molar in the Hne of fracture. This healed completely after extraction of otTending tooth and appropriate medication. There was no occlusal or nerve disturbances, wound dehiscence or rejection of the bone implant. Radiographical evaluation at various intervals showed good alignment, approximation and sound healing of fractured fragments, with complete osteointegration.

Anterior tibial spine fracture is relatively a rare injury in orthopedic practice. Undisplaced and minimally displaced (type 1&2) fractures can be treated by closed reduction and long leg cast. To avoid persistent post injury instability and secondary degenerative changes displaced tibial spine fractures (type3) need to be managed surgically. In this study, all displaced tibial spine fractures (type3) are treated with open reduction and internal fixation with stainless steel wires except in one case which is fixed with non absorbable suture. During follow up very good result are obtained in respect to satisfactory reduction, healing of fractures, and range of motion and stability of knee.