ACL injury is a widely recognized injury affecting the Genu-Joint Male to female ratio of “L ” injuries are, igament Croise Anterieur (ACL) as high as 9 :1 igament Croise Anterieur (ACL) . “L ” reconstruction with Hamstring grafts, is currently one of the most commonly used method nowadays. This Prospective study of 30 subjects treated by surgicalarthroscopic technique, wherein, Quadrupled Graft of Hamstring was used,for the femoral xation, an endo-button was used, and for the tibial xation, screw of the interference variety was used. Patients were on routine follow up,for at least a period of one year. All the subjects were subjected to post-operative AP and LAT X-rays, to ear mark the placement of the tunnel and positioning of the endo-button in the femoral sector and the interference screw in the tibial sector. Subjects were,upon a follow-up program, at 1,2,3months and there again at the end of 6 months and later on twice in a year. All subjects were evaluated with Tegner and Lysholm Knee Scoring Scale. The major Goal of “L ” recon, is towards re-establishing the stability of the knee. Succe igament Croise Anterieur (ACL) ssful functional outcomes following “L ” reconstruction,with a Semi-tendinosus Gracilis Graft, ha igament Croise Anterieur (ACL) s been reported in the literature. The optimal xation methodology for “L ” reconstruction is still evolving and the e igament Croise Anterieur (ACL) xisting xation devices which has been extensively used are the Endo-button and the “Biological Interference Screws, which has led to a better rehabilitation program postoperatively. In our study, all subjects were ordained to a proper rehabilitation protocol. 10% (n=3) subjects in the present study, had excellent results, 80% (n=24) of the subjects had good results and 10% (n=3) of the subjects had fair results. No subjects were reported to be, in the poor outcome category. Treatment of “L ” njuries necessitates, cautious pre-operati igament Croise Anterieur (ACL) i ve planning, selection of patients, radiological evaluation, selection of graft thickness, planning of timing of surgery, careful intra-operative care, good technique and post-operative rehabilitation, including thorough counselling for a good functional outcome.

Chronic osteomyelitis of any bone is a difficult condition to treat once it sets in. Various modalities of treatments are available for osteomyelitis. Here we present a case of an infected tibia with intramedullary nail in situ. This was initially treated by removing the intramedullary nail and IV antibiotics, followed by packing of medullary canal of infected tibia with BIODEGRADABLE ANTIBIOTIC COATED BEADS. Outcome was studied.

Fracture neck of femur which are displaced, do not nd a place in the elderly where the head can be preserved even if there is a surgical intervention. Fixation devices like the DHS have time and again failed to satisfactorily treat these fractures. It's here that the Bipolar Hemi Arthroplasty comes to us, as a very handy operative tool. The question is, whether or not the stem of the Bipolar, be cemented or not. The problems of cementation in the elderly carries the risk of BCIs – the bone cementing implantation Syndrome; which can at times be fatal. Cementation makes, future needed Total Hip Replacement, more difcult. In this prospective study of patients conducted at Chettinad Hospital and Research Institute, Kelambakkam, South India ; we have chosen an age group between 61 to 75 years, with an inclusion criterion satisfying type III or IV Garden, but also at the same time, be classiable, as a type A or type B DORR's classication. Our male to female ratio was 1:2 the mean age was 68.5 years and 93.3% (n=84) of patients undergoing un-cemented Hemi-Arthroplasty, when graded by HHS were either Excellent or Good. We had no Poor outcomes in our study. Our minimum follow up was for 12 months, with a mean follow up of 23.5 months. All our cases were done by the Southern Moore's approach, with an average duration of surgery at 82 minutes. The blood loss on an average was 285 ml and the average blood transfusion rate was at 1.8 units. The average post operative stay was for 12 days. From this short-term prospective study, we concluded that Un-Cemented Hemi-replacement Arthroplasty gives Good to Excellent clinico-functional outcomes. It also does not cause any hindrance, if future Total Hip Replacement, is required. Our complication rates were also manageable, with only about 6.7% (n=6) patients, needing revision surgery due to stem loosening.