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<p class="abstract"><strong>Background:</strong> Hip fractures are a growing concern for the orthopedic surgeons all over the world because the incidence of hip fractures is increasing dramatically and these fractures impose a significant challenge in their efficient management. The aim of the study was to prospectively analyze the functional outcome of unstable intertrochanteric fractures managed with ‘proximal femoral nail’.</p><p class="abstract"><strong>Methods:</strong> In our institution, we have selected 24 cases of unstable intertrochanteric fractures for this prospective study. All cases enrolled were managed with the proximal femoral nail. These cases were studied from the mechanism of injury, classification, and treatment with the proximal femoral nail and their surgical and functional outcome with or without residual comp.<strong></strong></p><p class="abstract"><strong>Results:</strong> Patients were followed up for an average period of 8.58 months. The mean Harris hip score was 88.75 at 6th month. The score was excellent in 12 patients, good in 10 patients, fair in 1 patient and poor in 1 patient. In our study of 24 patients with unstable intertrochanteric fracture, the average age incidence was 54.64 years. In the present study male: female was 5:3.</p><p class="abstract"><strong>Conclusions:</strong> In unstable proximal femur fractures, PFN is a significant advancement in the treatment of unstable trochanteric fractures which has the unique advantages of closed reduction, preservation of fracture hematoma, less tissue damage, early rehabilitation and early return to work.</p>

Introduction: Effectiveness of surgery for complete Acromio-clavicular Joint (ACJ) dislocation is controversial. We analyzed the long-term Functional and radiological outcome after in on Acromioclavicular ligament reconstruction by modified Mazzocca technique for Type 3 dislocations. Aim: To study the functional and radiological outcomes of acromioclavicular joint reconstruction in type III disruption without allograft with synthetic materials Method: Retrospective analysis of case records and patient reviewed to assess the long-term functional and radiological outcome by patient satisfaction, UCLA shoulder rating score and coracoclavicular distances. Results: We had 38 cases of Type 3 Acromio-clavicular dislocations over a period of 5 years. Mean age of the entire group was 42.1 years (26 to 57). Among them, 32 are males and six females. Three patients were lost their follow-up during the post-op rehabilitation period; among them, two were presented with infection, one with shoulder stiffness. Long-term functional and radiological outcomes were regarding UCLA shoulder rating score, patient satisfaction and coracoclavicular distances compared with the uninjured shoulder. Conclusions: More aggressive management of acromioclavicular dislocation needed to avoid poor results with chronic injuries, and we have moved toward without graft and earlier surgical intervention. We recommend modified Mazzocca technique used in the management of Grade 3 Acromio-clavicular joint dislocation for the following reasons (A). Better short-term functional and radiological outcome and low risk of complications (B). No need graft harvesting surgery and decreased donor site morbidity.