Background & Objectives: Diaphyseal femur fr actur e is one of the commonest fractures to present in an emergency room. The objective of the study was to compare femoral shaft fractures treated using nail with those using plate and screws. Materials & Methods: We studied a total of 62 patients of fracture shaft of femur admitted in the Bharatpur Hospital, Bharatpur, Chitwan and National Academy of Medical Sciences, Bir Hospital, Kathmandu. Two cases were lost to follow up. Thirty cases were treated with plating and 30 cases with nailing. The age group was from 16-30 years. Fifty-three were male and seven were females. Fiftyeight patients had closed fracture and two had Gustillo Anderson grade I open fracture. Results: Time from injury to surgery was 19 days on an average. Mean time for union was more in patients treated by plating, 19.46 weeks as compared to nailing 14.78 weeks. We found one case of infection with plating and breakage of plate in four patients. One patient with nailing did not show any signs of healing and two had failure in case of nailing. Our series revealed 23(38.3%) excellent, five (8.3%) good and two (3.3%) poor results in patients who had nailing while 15 (25.5%) excellent, nine (15%) good, one (1.7%) fair and five (8.3%) poor in patients who had plating out of 30 patients in each group. Conclusion: In our study we found that there was no significant difference in outcomes between plating and intramedullary nailing of femoral diaphysis fracture in terms of union, infection and implant failure. Key words: Femor al plating; femor al shaft fr actur e; intr amedullar y interlocking nail; Thorensen criteria Citation: Thapa S, Thapa SK, Dhakal S, Mar asini R, Hamal B, Rai RK, Shr estha R, Kandel M. A comparative study of fracture shaft of femur in adults treated with broad dynamic compression plate versus intramedullary interlocking nail. JCMS Nepal. 2016;12(2):66-9.

Background: Supracondylar fracture is a common childhood injury. These fractures are often associated with neural and vascular injuries. There is discrepancy in literature about the most common nerve injured in such fractures. This study aims to study the nerve injury patterns in supracondylar fractures of humerus in Nepalese children.Methods: This descriptive cross sectional study was conducted in 152 children (aged 2 to 14 years) with supracondylar fractures of humerus attending in Bharatpur Hospital during the period of one year. All eligible patients were assessed clinically and radiologically. Neurological assessment was done for nerve injury.Results: Out of 152 children, 18(11.8%) had nerve injuries. The mean age was 7.41±2.91 years. Boys were more injured (68.4%) than girls (31.6%). It was more common on non-dominant side (57.9%). Out of 18 nerve injuries, most commonly injured nerve was median nerve 10(55.5%) followed by radial nerve 7(38.9%). Median nerve injury was common in posterolateral displacement and radial nerve injury was common in posteromedial displacement type of fracture.  Conclusions: Displaced supracondylar fractures have relatively higher prevalence of nerve injuries. Most commonly involved nerve is median nerve followed by radial nerve. So, every displaced fracture should be routinely screened for nerve injuries.Keywords: Humeral fractures; median nerve; peripheral nerve injuries; prevalence; radial nerve

Background: Mucoid degeneration of the anterior cruciate ligament is a rare pathological condition. This is a condition where the anterior cruciate ligament becomes bulky and seems like a celery stalk appearance. The most common symptom is a pain in the posterior aspect of the knee and consistent clinical finding is a mechanical block to an extension of the knee. This study aims to find out the functional outcome of arthroscopic debridement of this entity.Methods: This is a prospective observational study from Jan 1st 2021 to Dec 31st 2021 done in 17 patients. The outcome was measured in terms of preoperative and postoperative visual analogue scale, Tegner Lysholm score and International Knee Documentation Committee score.Results: Eleven females and six males were included in this study. The mean age of the patients was 51.41 years. Arthroscopic debridement of mucoid degeneration of the anterior cruciate ligament was done. Preoperative and 6 months postoperative VAS score was 8.12 and 2.00 respectively (p<0.05), preoperative and 6 months postoperative Tegner Lysholm score was 44.00 and 86.29 respectively (p<0.05), and preoperative and 6 months postoperative IKDC score was 29.06 and 79.94 respectively (p<0.05)Conclusions: Arthroscopic debridement serves as an effective way of treatment of mucoid degeneration of the anterior cruciate ligament.Keywords: Anterior cruciate ligament; arthroscopic debridement; mucoid degeneration.

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