Background: Distal fractures of the femur especially comminuted, intra-articular distal femoral fractures AO classification 33-C remain challenging fractures for orthopaedic surgeons. Due to soft tissue damage, comminution, articular involvement and extensor mechanism injury functional outcome is poor in fracture distal femur. Materials and Methods:We have done prospective study of 20 patients of intraarticular distal femur fracture AO classification 33-C treated operatively with locking compressive plate at S.S.G. hospital and medical college, Baroda during January 2014 to March 2016.We have studied functional outcome using neer's score, radiological outcome and complication associated with fracture fixation using LCP. Result: Out of 20 patients 14 were males and 6 were females. The youngest patient was 18yrs old and the oldest 70 yrs.4 patients had C1,10 pt had C2 and 6 pt had C3 type of fracture according to AO classification,12 patients were operated with extensile lateral approach.8 patients were operated using Swashbuckler approach. In 3 patients primary bone grafting was done for severely comminuted type C3 fracture. Secondary bone grafting was done in 1 delayed union case at 4 month. Pt shows sign of union at 9 month.1 Pt develop non-union treated with secondary bone grafting at 9 month with signs of union at 12 month.1 pt develop infection on 4 th post-operative day resolved with surgical debridement and antibiotic. The average duration of weight bearing was12 weeks. Average time for fracture healing was 20 weeks. Average range of motion of knee was 110 degrees. Among 20 patients there were 9 excellent result, 5 good results, 3 had fair results and 3 had poor results. Discussion: The LCP acts on the internal fixator principle as screws once locked to the plate do not pull the fracture towards the implant, and hence there is no displacement of the fracture once reduced. Distal femur locking plate provides angular stability and provides multiple options to secure fracture fragments, both metaphyseal and articular. In our study we get better functional outcome using locking compression plate for intraarticular distal femoral fracture. Along with anatomical reduction and rigid fixation, early mobilization and aggressive physiotherapy are key for better functional outcome. Conclusion: In present study better functional outcome achieved using locking compression plate for intraarticular distal femoral fracture along with aggressive physiotherapy.

The management of tibial diaphyseal fractures has always held a particular interest for orthopedic surgeons. Not only they are relatively common but also they are often difficult to treat. This prospective study was carried out at SSG Hospital & Medical College Baroda from December 2017 to November 2018. 23 patients were treated by closed interlocking intramedullary nail. Goal of this study was to find out a safe, effective management of fracture, early mobility of patient, functional joint motion and short stay in hospital. Routine follow up was carried out in 23 patients. In 20 cases, fracture (86.95%) were united, 2 cases (8.69%) needed dynamisation with autogenous bone grafting and 1 case devoloped nonunion. Study showed interlocking nailing in tibia provides early mobility of patients, reduces hospital stay and fracture unites without joint stiffness and less complication.

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Introduction: Spondylolisthesis is a descriptive term derived from the Greek word spondylo (spine) and olisthesis (slip). spondylolisthesis is anterior translation of the cephalad vertebra relative to the adjacent caudal segment. For spondylolisthesis to occur there must be a failure of anatomic structures that normally resist this anteriorly directed force. These structures include the facets, annulus brosus, posterior bony arch, and pedicles. Radiological investigations are done for diagnosis and planning of treatment. Treatment includes conservative management and surgical management using different techniques. 1) To Estimate the clinical outcom Aim And Objective: e of patients who underwent Transforaminal lumbar interbody fusion (TLIF) in terms of symptoms and signs. This is a Prospecti Materials And Methods: ve Study, Sample size of 25 in which 18 were female and 7 males. After Institutional Ethics Committee approval, Study was conducted from September 2019 to December 2021 at a tertiary care Hospital. Consecutive patients with spondylolisthesis and planned for TLIF. Informed written consent was taken from all the patients. Observation And Results: Total 25 patients were included in the study out of that 7(28) % men and 18(72%) women. Majority of the study patients 16(64%) were belong to above 45 years age group. Preoperative minimum VAS scoring of back pain was 6 while the maximum was 8, with a mean of 6.8. The mean VAS scoring at 6 months follow up was 1.08 with a minimum of 0 while a maximum of 3, which is statistically signicant. In our study slip grade was reduced by 1 in 19 patients and by grade 2 in 5 patient and there was no improvement of grade in 1 patient. Out of 25 study patients, 1(4%) patient had supercial wound infection and only 1(4%) patient had complication of screw loosening. In our study Conclusion: 18(72%) patients were female while 7(28%) patients were male, with mean age of 47 years. showing that degenerative spondylolisthesis is common in females as compared to male, in age group more than 40 years. level of spondylolisthesis is L4-L5 while L5-S1 in 10(40%), indicating that L4-L5 is the more commonly involved as compared to L5-S1 due to sagittal inclination of the lower vertebra and relative stability of L5-S1 between the stout iliolumbar ligaments in the sacral ala and the L5 transverse process. Transforaminal lumbar interbody fusion is a safe and effective option to achieve circumferential fusion without sever complications. TLIF has been established as one of the most successful surgery for reducing pain and enhancing physical function in spondylolisthesis.

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