Background: Nutrition is one of the important factors that influences bone health. Fractures are quite common and increasing in prevalence in younger ages which could be because of the poor nutrition leading to poor bone health. We have evaluated the correlation between the nutritional status and long bone fracture pattern's in patients not known or suspected to be Osteoporotic. Methods: This study was conducted in 85 patients with long bone fracture presenting within 14 days of injury. Patients meeting the criteria for this study had their hematological and biochemical studies done on admission to Orthopaedic wards to document their nutritional status. Patients were evaluated on the basis of their age, gender, fracture pattern's, modes of injury, and laboratory investigations relevant for nutritional assessment. Result: Out of total 85 cases in our study 92.94% (n=79) had low serum vitamin-D level, 62.35% (n=53) had low TLC's level, 9.41% (n=8) had deranged serum creatinine level and 44.70% (n=38) had suboptimal serum albumin level at the time of admission which reflects the poor bone health of even young age group patients. Trend toward more severe fracture pattern was seen among fracture under 18 to 40 year age group patients with deranged nutritional biochemical parameters. Significant p value (p<0.05) were obtained in patients with derranged Serum Creatinine, BUN and RBS level. Although apparently the data shows that frequency of comminuted, segmental and oblique fracture were higher where nutritional parameters are below normal or suboptimal but significant p value could not be obtained in the rest of the nutritional parameters since the number of patients in some fracture patterns were too low or nil to provide an adequate statistical comparison. Conclusion:Our results on Orthopaedics trauma patients demonstrate that malnutrition is prevalent even in the younger age groups as evidenced by deranged parameters used to ascertain nutritional status. The general trend was of increased fracture severity patterns where Serum Albumin, Serum Calcium, Serum Phosphorus, Serum Creatinine, Blood Urea Nitrogen, Blood Sugar and Serum Vitamin-D were deranged, but a significant p value was obtained only in Serum Creatinine, BUN and RBS.

Introduction: Pertrochanteric fractures are defined as "Fractures occurring in the region extending from the extracapsular basilar neck region to the region along the lesser trochanter proximal to the development of medullary canal". Incidence of pertrochanteric fractures increase with increase in the age of population and quite often results in the end of patient's functional independence. Management of pertrochanteric fracture depends on patient's medical condition, quality of bone and the fracture biomechanics. The main goal of this study is to assess and compare the NSA in surgically fixed pertrochanteric fracture of femur at time of surgical fixation and compare it with final NSA attained at time of fracture union. Material & Method: This Observational and prospective study was conducted over a period of 1 year and includes 100 cases of pertrochanteric fractures with mature skeleton. X-ray of pelvis with both hips AP view was taken after fixation of fracture using standard protocol. Measurement of NSAs in the operated hips was done using postoperative digital X -ray films with help of Bersoft image measurement software trial version 8.49. Data was analyzed for NSA in non-fractured limb and the restoration/change in NSA in operated hip after surgical fixation and in follow up period. Result: In our study, the statistical analysis showed that mean NSA after immediate post op was 130.445 ± 11.1976, after 6 weeks was 128.586 ± 11.1954 and 127.305 ± 9.9472 at union. Conclusion: Irrespective of fixation method used (DHS/PFN), NSA significantly changes during first 6 weeks in the post op period and after 6 weeks it remains unaffected and fracture become relatively stable. Therefore it can be concluded that there is no need to delay mobilization past 6 weeks of surgery.