Background: Most of lower leg external fixation are bulky and cumbersome and provides only temporary bony stabilization. Anatomically pre-contoured supracutaneous LCP has been utilized by many authors as an external fixator in patients with metaphyseal and diaphyseal fractures of tibia. Aim: The aim of this study is to analyse the end result of Supracutaneous LCP as a definitive external fixation and its effect on rate of union in metaphyseal and diaphyseal fractures. Materials and methods: A complete of 30 patients of compound fractures of tibia underwent "supracutaneous plating" of the tibia using an LCP. Average age was 44 years. Regular screw tract dressings were done. Average period of follow-up was 13 months. Results: The plate was kept ex situ for a period of 24-30 weeks. Proximal metaphysis, diaphysis and distal metaphysis united in 14 weeks, 20 weeks and 16 weeks respectively. Total of 30 patients were operated for Supracutaneous LCP of which one complicated with Infected Non-union resulting in implant removal and other complicated with Non-union which later underwent internal fixation. Conclusion: In compound fractures of tibia supracutaneous LCP are often used as a definitive external fixator because it gives good results especially for metaphyseal fractures and fewer complication rates, with Adequate stability. Advantageous effect of LCP in facilitating wound healing, cosmetic surgery procedure. Because it does not strike the contralateral leg therefore cosmetically acceptable and functional while ambulation. Because of nonoverlapping of implants fracture healing is easily assessed on x rays.

Introduction: Anterior and posterior portals used for ankle arthroscopy but anterior portals are safer, provide good access and visualisation of joint. Aims: The anatomical structures nearby portals are vulnerable to injury during surgery. To study the anatomy of ankle joint using dissection method. Methods and material: 20 cadaveric limbs were dissected and the distance of different portals to the nearby neurovascular structures was measured. Results: The mean distance from anteromedial portal to the great saphenous vein and saphenous nerve was 5.28 mm, 9.12mm and that between the medial midline portal to the dorsalis pedis artery and deep peroneal nerve was 10.08 mm and 16.20mm. The mean distance from anterocentral portal to the dorsalis pedis artery was 2.38mm, to superficial peroneal nerve was 7.09mm and deep peroneal nerve was 4.12mm. The mean distance from anterolateral portal to lateral branch of superficial peroneal nerve was 3.18mm. There was injury in one specimen. Conclusions: This present study concluded that medial midline portal is comparatively safe for ankle arthroscopy. Anterocentral portal has potential risk of injury to dorsalis pedis artery.

Introduction: The femoral neck fracture continues to be unsolved fractures, and the guidelines for management are still evolving. Hip fractures are common injuries, especially seen in the elderly in the emergency setting. It is also seen in young patients who perform in athletics or high-energy trauma. Immediate diagnosis and management are required to prevent complications. Materials and Methods: The retrospective study was done who were admitted and underwent bipolar hemiarthroplasty in the past 5 years. Results: The highest mortality was when the surgery was delayed for more than 2 months after injury. A delay of few days did not lead to increased mortality compared to other series, and cemented hemiarthroplasty does not lead to significant long-term cognitive impairment, the increasing time after surgery, there was an increasing proportion of patients with painful hip, and almost 80% of patients at the end of 5 years had poor outcome. Conclusion: The majority of the cases of fracture neck of femur in elderly was due to fall on ground indicating them to be a fragility fracture. Most of the patients were not able to squat and sit cross legged which is an important social requirement in Indian subcontinent. Hemiarthroplasty was not a good surgery for patients who have a longer life expectancy.