Background and objective: Incidence of fractures of distal radius are increasing due to more geriatric population and road traffic accidents and at the same time surgical treatment option for the same are modified continuously. The fundamental goal & treatment of distal radial fractures is restoration of normal or near normal alignment and articular congruity. Method: 30 patients with fractures of distal radius were selected who were admitted in JSS Hospital, Mysore between September 2015 and September 2018.Patients were treated with open reduction and internal fixation with volar plate through a volar approach and followed up till functional recovery and assessed clinico radiologically. Result: The study comprised of 22 male and 8 female patients aged from 21 to 62 years with mean age of 43.35 years. The average duration from date of injury to date of surgery was 2.35 days. The follow up ranged from 9 to 18 months. Using the demerit scoring system of Gartland and Werley, we had 40% excellent, 46.66% good, 6.66% fair and 6.66% poor results. Interpretation and Conclusion:In carefully selected patients even in the face of osteoporosis, fixation of fractures of distal end of radius with a volar plate has satisfactory outcome for both the patient and the surgeon and must be considered part of a surgeons Armamentarium in the contemporary treatment of osteoporotic fractures of distal radius.

In spine surgery, it is common practice to thoroughly exhaust all conservative measures before surgery. With the increasing popularity of injection procedures, significant number may still require surgery post epidural steroid infiltration (ESI). We aim to study the incidence of such patients who eventually go in for surgery after a failed ESI. We also studied and compared the functional outcomes of transforaminal (TF) versus interlaminar (IL) procedures in intervertebral disc prolapse (IVDP) patients. Materials and Methods: 150 patients with lumbar disc prolapsed were subjected to epidural steroid infiltration after 6 weeks of failed conservative management, of which 101 underwent IL and 49 TF procedure according to surgeon's preference, and followed up for 6 weeks. Those with persisting (or worsening) Visual analogue scale (VAS), Modified Oswestry diability index (ODI) and with progressive neurological deficits, underwent lumbar discectomy and all were followed up for 6 months. Results: Out of 150 patients, 45 patients underwent discectomy (30 %) after total 6 months follow up, and out of the remaining 105 patients, 40 (81.6%) from TF group and 65 (64.4%) from IL group improved. In total, 62% of females went to surgery, Minimal disability in ODI score was seen in 77.8% in surgery group and 98.1% in epidural group at final follow up. Conclusion:Our study observed a much smaller crossover rate (30%) to surgery, and a significant difference in outcomes of the two injection methods and concludes that TF is a better procedure than IL.

The hip allows mobility of the entire extremity in 3 planes. Therefore any little derangement in the anatomy of the hip can affect it's functioning and can cripple & severely affect daily living of the person. The most common causes of disability are trauma and degenerative disease, and till date the most successful2 treatment for joints severely damaged has been replacement by artificial parts. Today replacement arthroplasties are very commonly performed by orthopedic surgeons the world over. In India too this procedure has gained wide acceptance among both surgeons and patients. The primary goal of this procedure is to restore normal anatomy of the hip joint so as to provide painless free mobility with a stable hip, and immediate functional outcomes of this procedure are very satisfactory. Technically there is little debate that the results of revision procedure are less satisfactory and the primary THR offers the best chances of success. Therefore it would be rational to assess and eliminate the human/iatrogenic factors that would-be influencing and jeopardizing the longevity of the implant since such surgeries in Indian patients are mostly once in a lifetime job. Also since the indications of arthroplasty have expanded and more surgeries are being done, so there is a statistic increase in the percentage of loose implants, which ever the reason. Although definite evidence and impact of loosing manifests late but the parameters reflecting the causative factors can be detected early in the form of altered anatomy and function. And repetitive cyclical loading of the implant in an unfavorable mechanical environment will over time, ultimately build up to a negative result.

Pigmented villonodular synovitis is a very rare but still an aggressive tumour which involves bursae, tendon sheaths and synovium. The foot and ankle involvement in PVNS is around 2 -10%. We conducted a prospective study of 8 patients with PVNS of foot and ankle with diagnosis confirmed by X-ray, MRI, histopathology at Mysore Medical College. Mean age was 28.87 (14-46) at diagnosis. All the patients underwent open synovectomy followed by postoperative radiotherapy. At an average follow up of 22 months, 6patients reported better functional outcomes. Although 2 patients were symptomatic, none of the patients had recurrence of the disease. Thus we conclude that open synovectomy with radiation therapy would reduce the risk of recurrence in diffuse PVNS without causing functional impairment.