Background: Fractures of femoral bone is very commonly seen in geriatric age group but is also getting common in young population up-to some extent. Such kind of fractures are a result of road traffic accidents or any kind of trauma in young and healthy individuals but in geriatric age group, most of them are due to a trivial fall but aggravated by osteoporosis. Aim: To study clinico-demographic profile of patients with complex proximal femoral fractures. Material and Methods: In our study, 40 cases with complex proximal femoral fractures with osteoporosis & communition were examined. Results: Majority of the cases were in the age group of 41-60 years & 61-80 years i.e., 16 patients each (40% each). Most of the patients were male i.e., 24 (60%) and 16 (40%) were female. The commonest mode of injury was road traffic accidents in 20 patients (50%) followed by fall from height in 14 (35%) patients. Both sides were equally affected. Conclusion: The complex proximal femoral fractures were more common in geriatric age and in case of females which could be attributed by underlying osteoporosis which is prevalent more in females. Keywords: road traffic accident, geriatric age group, osteoporosis, proximal femoral fracture.

Background: Humerus fractures have a substantial impact on personal function and well-being and are one of the leading causes of excessive mortality among the elderly. Aims and Objectives: To study outcomes of fracture proximal humerus in adults treated with proximal humerus locking plate at tertiary health care center. Methodology: This was a cross-sectional study carried out in the patients of proximal humerus fracture at the department of Orthopedics of a tertiary health care center during the one-year period i.e. June 2019 to June 2020. During the one-year period there were 61 patients included into the study after written and explained consent. All patients undergone proximal humerus locking plate operations as per the standard operating protocols and procedures. All the necessary data like Age of the patients, sex, Outcome and any associated complications were noted. The data was presented in the percentages and in tabular form. Result: In our study we have seen that The majority of the patients were in the age group of >60 were 40.98%, followed by 50-60 were 27.87%, 40-50 were 19.67%, 30-40 were 8.20%, 20-30-3.28%. The majority of the patients were Female i.e. 68%, followed by Male were 32%.The majority of the patients were improved 80%, 20% were associated with complications like Avascular necrosis in 10%, Screw cutout occurred in 7%, Revision surgery required in 3%. Conclusion : It can be concluded from our study that the most common age of fracture was >60 the majority of the patients were females most of the patients improved ; Locking plate fixation was a good surgical option for the management of proximal humerus fractures except with some complications like Avascular necrosis, Screw cutout occurred, Revision surgery required etc. Keywords: fracture proximal humerus, Proximal humerus locking plate, Avascular necrosis of Femur.

Introduction: Osteoporosis is a widespread global disorder characterized by decreased bone mass and altered bone architecture, resulting in increased fragility of the bone and an increased risk of fracture. The prevalence of osteoporosis is projected to rise dramatically in the future due to ageing of population. Leading to increased risk of fracture, osteoporosis is defined as a disorder of skeleton which is characterized by weak strength of bones according to National Institutes of Health Consensus Development Panel. According to the criteria laid by World Health Organization (WHO). There are various causes of osteoporosis which includes growing older with age, rheumatoid arthritis, lower body mass index, gender, premature ovarian failure, deficiency of vitamin D, alchohol abuse, poor consumption of calcium, medications. Osteoporosis sometimes may not be diagnosed until occurrence of fracture since it is a silent disease. Material and Methods: The study group which comprised of cases was subjects with osteoporotic fractures above 45 years of age having any one or combination of fractions mentioned below: Thoraco-lumbar spine, distal radius, proximal femur, proximal humerus, mechanism of low-energy trauma. Patients with high-energy trauma or fractures, road side accidents and/or below 45 years of age were not included in this study. The control group comprised of subjects above 45 years of age suffering from osteoarthritis. Results: Majority of females were observed in cases as well as controls in present studies with number of females in cases being  21 in cases while 18 in controls among 30 subjects belonging to each group. It is observed that among all fractures in cases which were included in present study, majority of fractures were proximal femur which accounted for 43% of total fractures followed by distal radius 30%, proximal humerus 20% and thoraco-lumbar spine 7%. Conclusion: Compromised by strength of bone leading to an increased fracture risk, osteoporosis is a skeletal disorder. Older patients, females, patients with higher BMI and weighed more had a greater proportion of osteoporotic fractures. Keywords: osteoporotic fractures, BMI, Vitamin D, alchohol abuse, calcium.