Introduction: In last few decades, rapid industrialization and the fast pace of life have brought both comforts and catastrophe like road traffic accidents and crippling many young lives. High velocity road traffic accidents are responsible for distal femur fractures more commonly observed in the young and middle aged patients. This necessitates early stabilization of fractures. Internal fixation is the choice of treatment in fractures distal femur and Locking Condylar plate has shown to give one of the best results in terms of recovery, fracture union, return to work and the functional outcome. Aims and objective: To study the outcome of open reduction and locking plate fixation of fractures of distal end of femur and to evaluate the effectiveness and complications of the Locking plate fixation method of treatment of fractures of distal end of femur. Material and Method: It is a prospective observational study. Conducted in patients admitted to Department of Orthopedics' at BLDEU'S Shri B.M. Patil's Medical College, Hospital and Research Centre, Vijayapura with diagnosis of distal Femur fracture.The patients were informed about study in all respects and informed written consent was obtained. Period of study was between November 2017 to May 2019. Follow up period was for 6 months. Data was analysed by SPSS v21 and p-value <.05 was considered statistically significant. Results: In our study 22 cases studied in our series were with 18 males and 4 females' patients. 15 of the fractures were caused by road traffic accidents (RTA), 6 were due to fall and 1 was due to assault. 15 patients were with fracture on right side and 7 on left side. 1 was Muller's type A1, 6 were Muller's type A2, 4 were Muller's type A3, 1 was Muller's type C1, 6 were Muller's type C2 and remaining 4 were with Muller's type C3 fracture. The duration of time required by patients to bear full weight was with mean of 15.8 weeks of time. The radiological union was seen at median of 17 weeks following surgery. Average flexion in the study of the limb was 110º angles with more than 50% patients having knee range of motion more than 120º. The outcome in form of regaining the knee function is assessed using NEER's scoring system. The median NEER's score in study was 94.5. Among 22 patients included, 12 patients showed excellent outcome, 6 with good and 4 with fair outcome at the follow-up. Poor outcome was found in patients with Muller's type C3 and type A3 fractures. Conclusion:To conclude, Locking Compression Plate is an important armamentarium in treatment of fractures around knee especially when fracture is severely comminuted and in situations of osteoporosis. Fixation with locking condylar plate showed more effectiveness in severely osteoporotic bones, shorter post-operative stay, faster recovery, earlier union rates and excellent functional outcome compared to alternative procedures in other studies. Further study in large number of patients is required to comment regarding disadvantages and complications.

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Vertebral biopsy is suitable for patients with intractable back pain and vertebral body lesions that are detected with noninvasive imaging modalities. Histologic confirmation is necessary for correct diagnosis and subsequent clinical management. Percutaneous biopsy is less invasive and cost-effective.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Twenty three patients with history of severe back pain with vertebral body lesion identified by any of </span><span lang="EN-IN">computed tomography (CT) or magnetic resonance imaging (MRI) were taken up for percutaneous biopsy. Lesion level was determined under fluoroscopy. Biopsy was taken with trephine needle under local anesthesia. Accuracy and effectiveness analyzed after histologic reports</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Among 23 patients, 2 were having malignant primary lesions (8.6%), 8 were having vertebral metastasis (35%), 10 were having infectious etiology (43.4%) and 3 were osteoporotic fractures. There were no complications. One unsuspected secondary malignancy was detected. True positive cases were 19; true negative cases were 3 and one false negative case. Overall accuracy is 95%. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">This minimal invasive technique is simple, safe and effective in diagnosis of malignancy and infection aiding the treating surgeon in their further management. It is also useful in detecting unsuspected malignancy.</span></p><p class="abstract"> </p>

Background: Tibial diaphyseal fractures are one of the commonest long bone fractures encountered by most of the orthopaedic surgeons. Because most of the length of tibia is subcutaneous throughout, open fractures are more common in tibia than in any other major long bone. Because of high prevalence of complications associated with these fractures, management is often is difficult and the optimum method of treatment remains a subject of controversy. The aim of this study is to evaluate the efficiency of LRS in treatment of open fractures of tibia with other studies in terms of time required for union, rate of malunion and malrotation, rate of infection and range of motion of ankle and knee joint. Materials and Methods: This study was performed with 25 open fractures of tibia with LRS. All the cases were fresh fractures and traumatic in nature. They were done with procedure as early as possible and the secondary procedures of skin grafting and musculocutaneous flap were done when needed. The cases were followed up for an average period of 6-24 months. Results: Open fractures of the tibial shaft managed with LRS gave good functional results and patient satisfaction. It involves minimal surgical trauma and less blood loss. It provides the advantages of early ambulation, lower rates of infection, delayed union, nonunion and malunion compared to other treatment modalities. It provides with early weight bearing and earlier returns to work. Conclusions: It was concluded that early stabilization of open tibial fracture with LRS with immediate soft tissue coverage resulted in good fracture union and minimal rates of complications compared to other modalities of treatment. It is cost effective with minimal hospital stay and early return to work. Over all morbidity is reduced and better patient satisfaction noted.

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Background: Intertrochanteric Femur Fractures are usually complicated withassociated co-morbidities like osteoporosis, diabetes, hypertension, renal failure. In suchcircumstances, nonoperative treatment is mainly reserved for poor medical candidates and non-ambulantpatients with minimal discomfort after fracture. Objective: To study the management of intertrochanteric fractures with proximal femoral nail anti-rotation-II. Material and Methods: Present study was conducted on the patients admitted in at BTGH attached to MR medical college, Kalburgi &Shri B M Patil Medical College Hospital and Research Centre, Vijayapura,with diagnosis of intertrochanteric fractures from October 2017 to April 2019. A total of 21 cases were taken in our study. Results: Majority of the cases i.e., 12(60%) were in the age group of 61- 80 years, followed by 3 cases in the age group 41-60 years. The mean age was 69years. Majority of the patients were males 13 (65%) and 7 (35%) were females. We took less number of exposures time in case of comminuted fractures where reduction was not a problem. Blood loss was more in open reductions. The HARRIS HIP SCORE grading was done and 2 patients were graded excellent, 16 as good, 2 as fair and none as poor.