<p class="abstract"><strong>Background:</strong> Fractures of the distal humerus represent challenging problems to an orthopaedic surgeon. The present study aimed to assess the range of movement after performing open reduction and internal fixation of distal humerus fractures treated with triceps sparing approach.</p><p class="abstract"><strong>Methods:</strong> This prospective study included all skeletally mature patients with distal humerus fractures and operated at our center with open reduction and internal fixation of distal humerus with triceps on or triceps sparing approach were included in the study. During the study period 30 cases underwent surgery and were included in the final analysis. Fractures were classified according to the AO/OTA classification. Patients will be followed up at 6 weeks, 12 weeks and at 6 months. Mean range of motion of the fractured elbow at different follow up points were compared.<strong></strong></p><p class="abstract"><strong>Results: </strong>The mean age of the total population was 37.7±13.8 years, 57% males and left side was affected in 60% of the patients. Majority of the patients had a range of motion in normal elbow in the range 0 to 140 degrees. There was an increase in the mean range of movement from 63.4±14.2 at 6^th week to 120±6 at 24^th week, and this change was statistically significant (p&lt;0.001).</p><p class="abstract"><strong>Conclusions:</strong> Future multicentric randomized studies, specially comparing triceps-sparing with olecranon osteotomy, are needed to support the results of our study.</p>

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Introduction: The use of tourniquet in a total knee replacement (TKR) has been advocated by some researchers across the globe, though the evidence is still lacking. In this study we aimed to assess the effect of using a torniquet in patients undergoing total knee replacement on the post-operative blood drainage and range of movement of the operated knee. Methodology: We included patients who were admitted for undergoing total knee replacement (TKR) surgeries in the Department of Orthopedics at the A.J. Institute of Medical Sciences during the period of November 2014 to May 2016. We included 20 patients who underwent TKR using a tourniquet and 20 age and gender matched control patients who underwent TKR without the use of tourniquet. The cases underwent surgery with tourniquet throughout the surgery at a pressure of 350 mmHg and the control group without tourniquet (inflated only for 20 minutes during cementing). Post-operative drain collection and recovery of range of movements at knee joint on 7th post-operative day were compared using unpaired t-test. p value less than 0.05 was considered statistical significant. Results: At baseline, with respect to the demographic data and pain, both the groups were comparable. A mean of 1009 ± 168 mL drainage was collected in the torniquet group and 628 ± 116.5 mL drainage was collected in patients who were operated without the torniquet (p < 0.001). Range of motion was more at the end of 1 week post-operatively in patients without the use of torniquet (p < 0.01) as compared to patients with torniquet. Conclusions: We compared the effect of tourniquet in patient undergoing total knee replacement. Multicentric randomized trials are needed to further sustantiate our findings.

Introduction: Lowback pain is one of the most common chronic pain disorders, with 2-3% incidence of lumbar disk herniations among population. Epidural corticosteroid injections have been used since 1952 for treatment of lumbar radiculopathy with or without discogenic back pain in patient with failed medical and conservative management. Local Steroids such as triamcinolone acetate acts by limiting inflammatory response. Several approaches are available; interlaminar, transforaminal and caudal. This study was conducted to compare the efficacy of triamcinolone acetate injection by interlaminar vs transforaminal approach. AIM: To compare the efficacy of triamcinolone acetate in terms of pain relief between interlaminar approach and transforaminal approach. Methodology: In this study 60 patients with low back pain are randomly allocated to one of the two groups of 30 patients each. In both group 40mg of triamcinolone acetate solution is used. In IL approach, drug is injected blindly in the epidural space, while in TF approach drug is injected under fluoroscopic guidance using dye. Outcome consists of measuring pain relief at 2nd and 4th week after injection using Numerical Scale and Verbal Rating Scale. Data was collected after 15mins, at 2nd week and at 4th week after the injection. RESULTS: The pain relief in NRS and VAS at 2 nd week was more in patient who received triamcinolone acetate via transforaminal approach. Conclusion: Transforaminal is superior to interlaminar, as it gives target specific administration of triamcinolone acetate and is more effective than ILESI comparing the NRS and VAS score in terms of pain relief.

Background: This study was aimed at understanding the clinical and epidemiological characteristics of patients diagnosed with disc herniation and operated with minimally invasive microdisectomy at our institute. Methods: After taking approval of the institutional ethics committee, all patients aged more than 18 years, who presented to the outpatient clinic of the