Aim of study was to assess the relationship between disability and defining features of osteoarthritis knee (Radiological findings and pain) To identify predictors of disability in patients where radiological evidence of deformity and pain occurs differentially.

Background: Kinesio tape has multiple benefits including decreasing pain, increasing proprioception, increasing quadriceps muscle strength, and improving lymphaticcirculation at the knee joint. To evaluate the effectiveness of kinesiotape innon traumatic chronic knee pain. Material and Methods: Aprospective study was done from august 2020 to January 2022 in nscb medical college jabalpur on 80 patients with patello femoral arthritis of knee joint and early grade medial joint line arthritis of knee joint(kellgenlawrencegrading) in which kinesio tape was applied over knee for 6 days by an orthopaedicsurgeonand followed up at end of 1st , 2nd , 3rd , 4th week and outcomes were measured using WOMAC(western Ontario and mcmaster university arthritis index) and Vas(visual analogue scale) scores. Results: VAS score(pre application:7.12, after 4 weeks:4.68)and WOMAC score( pre application:46.18, after 4 weeks:35.65)showed a statistically decrease in scores in cases of patellofemoral arthritis and early grade medial joint line arthritis of knee joint.(p value <0.001) Conclusion: Kinesio tape appears to beaneffective,easy and cheap method in early symptomaticpatello femoralosteoarthritis and early grade medial joint line arthritis of knee joint.

Aim:-The aim of our study to evaluate the effectiveness of percutaneous tendon release and application of corrective cast in children who had undergone serial corrective cast but had some Residual deformity Material and method :-We have included total 18 patient of Relapse clubfoot (with 22 clubfeet) in our study.The age group of patient between 6 month to 36 month.All these patient treated by percutaneous tendon release procedure and application of corrective cast.then result analysis by pirani score, podograph foot bimalleolarangle,and radiological foot angles at follow up of 1,6,12 month. Result:-pirani score result excellent in 10 feet (score<0.5),good in 10 feet(score<1.5),and fair in 2feet (score<2). Podograph foot bimalleolar angle(FBA) in 19 feet (87%)[angle >75°],FBA in 2 feet (9%)[angle70-74°],FBA in 1 feet (4% ) [angle 65-69°]. Radiological foot angleApTalocalcaneal angle mean change(7.42°) ,lateral Talocalcaneal angle mean change(7.09°) ,AP Talorst metatarsal angle mean(7.0°) , Tibiocalcaneal angle meanchange(18.66°) , Talocalcaneal index meanchange (14.65°) Laaveg ponseti and Cummings functional score excellent (85-100) in 4feet(18%),Good (70-84) in 12feet(54%), fair(60-69)in 3feet(14%), Poor (below 59)in 3feet(14%). Conclusion:-Percutaneous tendon release with application of corrective cast is safe and easy method for correction of Relapse clubfoot with less risk of wound complications,neurovascular injury and post operative scar mark.

Background  Autologous platelet-rich plasma (PRP), which contains a pool of growth factors, appears to offer an easy solution for delivering multiple growth factors needed for tissue repair. The objective of the study is to compare between single versus three doses of intraarticular platelet-rich plasma injection in the treatment of early osteoarthritis knee joint. Materials and Methods  A prospective comparative study was done on 100 patients with early osteoarthritis knee who were randomized into two groups in an alternating fashion—single-dose injection and triple-dose injection groups. PRP (5 mL) obtained by double-spin method was injected per knee and followed up at 1, 3, and 6 months and outcomes measured using WOMAC (Western Ontario and McMaster universities osteoarthritis index) and VAS (visual analog scale) scores. Results  VAS scores showed a statistically significant difference in triple-dose group at all follow-ups. In WOMAC, such a difference was observed for stiffness subscore at all the follow-ups, but the pain subscore and total score showed an improvement only at the final follow-up with the functional assessment subscore showing no statistical difference at any follow-ups. Conclusion  PRP injection appears to be effective in early symptomatic osteoarthritis with better clinical results using a triple-dose regimen.