BACKGROUND Distal tibial fracture often present a challenge to the orthopaedic surgeon. The best option for surgical management of distal tibial fracture is still unclear, whether nail or plate. MATERIALS AND METHODS The study consists of 24 patients of distal tibial fracture treated either with reamed intramedullary nails or locked plating/MIPPO with open reduction method or minimally-invasive techniques. RESULTS 24 patients included in the present study were divided into two groups as nailing group A and plating group B. Nailing group included 12 patients and plating group included 12. Age range of patients was 21-62 years. Most common mode of trauma in both groups as RTA followed by accidental fall in 2 cases. The average time for union and weightbearing was 19 weeks in group A and 20.08 weeks in group B. Complications like malalignment, more surgical time were seen in group A and surgical site infection, skin necrosis, prolonged immobilisation were seen in group B. CONCLUSION Both IM nailing and plating are optional methods of treatment. Intramedullary nailing in distal tibial fractures result in early mobilisation is an easier technique, more economical and has fewer complications rate. Plating is preferred in cases where fracture is very close to ankle mortise and associate with higher rate of wound complications.

BACKGROUND The dynamic compression screw and plate is a gold standard device in the management of intertrochanteric fracture fixation. The problems of bedsores, DVT, lung complications, joint stiffness and malunion are very common with conservative management of IT fractures. Various modalities of devices are available for fracture fixation. The objective of the study is to analyse the treatment outcome of IT fractures by DHS. 1 MATERIALS AND METHODS This is a prospective study. 20 patients with fracture IT were treated with DHS. The average age of the patient was 52.25 years (range 41-60 years) with mean follow-up of 2.1 years (range 1.5-2.0 years). The patients were assessed for fracture union, function and complications at regular follow-up interval.

BACKGROUND A study was done to evaluate the effect of the ligamentotaxis in the management of intraarticular fractures of the distal radius. MATERIALS AND METHODS 34 patients were studied prospectively between March 2014 and February 2016. All patients had intraarticular fracture of distal end of radius and all were treated with ligamentotaxis after closed reduction with fluoroscopic guidance. The follow-up period was 12 months. At the time of surgery, the mean age was 45.29 years. RESULTS In all fracture cases, the mean of fracture union was 5.8 weeks. During the final follow-up, the mean range of motion was 55.30 in flexion, 56.60 in extension, 21.0 in ulnar deviation, 9.00 in radial deviation, 70.30 in pronation and 67.10 in supination. According to the scoring system of Gartland and Werley, the clinical and functional outcomes showed that 15 patients (44.1%) had excellent results, 14 (41.1%) had good results, 3 (8.8%) had fair results and 2 (5.8%) had poor results. CONCLUSION Closed reduction under fluoroscopic image guidance and the ligamentotaxis is useful and effective in the treatment of intraarticular fractures of the distal radius.