<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The incidence of arthritis is rising in India due to increase in the proportion of ageing population and obesity. Cruciate retaining total knee arthroplasty (TKA) is a promising mode of treatment for end stage arthritis, with excellent functional outcome. Hence, we have evaluated the functional outcome of posterior cruciate ligament retaining TKA and the problems related to the procedure at our institute.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This prospective study was conducted on 30 patients who underwent posterior cruciate ligament retaining primary TKA at a tertiary health care centre between December 2012 and May 2014. Patients were evaluated using Knee society score (knee score and function score) at regular follow up visits</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The study included TKA for 42 knees in 30 patients. Indications for TKA were osteoarthritis in 37 knees and rheumatoid arthritis in 5 knees. The average follow-up period was 24 weeks. All the 42 knees had poor knee score (&lt;60) and poor functional score (&lt;60) preoperatively. Postoperatively 37 knees had excellent (80-100) and 5 knees had good knee score (70-79) whereas 22 patients had excellent (80-100), 5 patients had good (70-79), 2 patients had fair (60-69) and 1 patient had poor functional score (&lt;60). </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Our study demonstrates that posterior cruciate retaining TKA is a reliable procedure with excellent functional outcome, pain relief and early return of patients to their daily activities. Posterior cruciate retaining TKA provided excellent knee society score and functional score in majority of patients.</span></p>

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Incidence of proximal tibial fractures is increasing due to increasing incidence of road traffic accidents (RTA). Knee joint being one of the major weight bearing joint of the body, appropriate management of fracture around it will be of paramount importance in maintaining mobility. The recent development of locking compression plate (LCP) has revolutionized the treatment of proximal tibial fractures by overcoming the few drawbacks of conventional buttress plate.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">We studied 30 patients involving proximal tibial fracture manged using LCP [23 patients with minimally invasive plate osteosynthesis, (MIPO) technique and 7 patients with Open reduction and internal fixation (ORIF) technique]. We followed up all the patients until complete union of fractures</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The average time for union of fracture was 14 weeks (range: 12-24 weeks). Overall 96.7% patients had acceptable outcome (70% excellent and 26.7% good). Patients treated with MIPO technique healed earlier and more frequently had excellent results than those treated with ORIF. A total of four patients had complications (knee joint stiffness in 1, postoperative loss of reduction in 1, infection in 1 and knee instability in 1). </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Locking compression plate system acts as a good biological fixation for proximal tibial fractures even in difficult fracture situations. MIPO technique offers faster healing and better outcome than ORIF in patients with proximal tibial fractures.</span></p>

BACKGROUNDLow-back pain is the commonest condition encountered day in and day out of an orthopaedic practice. Incidence of spondylolisthesis in normal population is around 5-7%. No matter what the aetiology is, patient has significant functional disability.

<p class="abstract"><strong>Background:</strong> Fixation of distal femoral fractures with a lateral plate alone is associated with nonunion and/or malunion with varus collapse. Locking compression plates may reduce the tendency of varus collapse. Hence, we evaluated the union rates and functional and anatomical outcome in patients of distal femoral fractures who were treated with locking compression plates.</p><p class="abstract"><strong>Methods:</strong> This prospective study was conducted at a tertiary health care center at Bangalore between July 2010 and June 2012. Patients with distal femoral fractures were treated with locking compression plates and were followed up for at least 6 months. Outcomes were evaluated using Neer’s score to assess outcomes in adult distal femoral fractures.<strong></strong></p><p class="abstract"><strong>Results:</strong> The study included 22 patients (10 males and 11 females) among whom one patient was lost to follow up within 6 months after the procedure. All the fractures were post-traumatic. Nineteen (91%) patients had closed fractures whereas two (9%) had open fractures. Muller’s A1 type was the most common (n=7) type of fracture followed by C2, C1, A2 (n=4 each) and B1, A3 (n= 1 each). Median duration of follow-up was 8 months (range: 6-18 months). The mean NEER’s functional score was 80 points. Overall results were excellent in 5 (24%) out of 21 cases and were satisfactory in 15 (71%) cases and only one had an unsatisfactory result.</p><p class="Style14"><strong>Conclusions:</strong> Locking compression plates offer excellent-satisfactory outcome in patients with distal femoral fractures. </p>