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BACKGROUND Diaphyseal fractures of the forearm are one of the common fractures in the paediatric population. Closed reduction and cast immobilisation remain the standard treatment for paediatric diaphyseal forearm fractures owing to their unique remodelling potential. The main concern of conservative management is re-displacement of fracture in cast resulting in the unacceptable angular deformity in the forearm. Intramedullary fixation with titanium elastic nails for paediatric diaphyseal forearm fractures is becoming the trending surgical technique in those cases that warrant surgical intervention. The purpose of this study was to evaluate the functional outcome of the management of fracture of both bones forearm in the older children with titanium elastic nailing system. METHODS This was a prospective study done among thirty patients aged 5 to 16 years admitted to the Department of Orthopaedics at GEMS & Hospital, Ragolu, Srikakulam with diaphyseal fractures of both bones forearm from September 2017 to September 2019. We treated the patients by closed / open reduction and internal fixation with elastic stable intramedullary nailing. The patients were followed-up for six months. RESULTS We evaluated the patients clinically and radiologically after surgery. We assessed the outcome using modified Anderson’s AO criteria for forearm fractures extracted from the international journal of current pharmaceutical and clinical research functions. All fractures united at an average of 9.1 weeks without any delayed or non-union. The results were excellent in 86.6 % of patients and good in 13.3 % of patients without significant complications. There were minor complications in 6 patients (20 %). CONCLUSIONS Titanium elastic intramedullary nailing is a safe, effective and minimally invasive surgical method for treatment of displaced both bones forearm diaphyseal fractures in older children. This technique gives relative stability with a three-point fixation principle resulting in secondary bone healing by promoting early callus, ideal for early mobilisation. The technique offers several advantages, including minimal incision, preservation of fracture haematoma, dynamic axial stabilisation, and shorter hospitalisation. KEYWORDS Both Bone Fracture Forearm, Titanium Elastic Nailing System, Early Mobilisation

<p class="abstract"><strong>Background:</strong> Tibial condyles with their articular surface forms major part of the knee joint, plays an important role in weight transmission and mobility. The proximal tibia fractures account for 1% of all the fractures. If these high velocity intra/peri articular fractures are not treated properly there will be high degree incidences of malunion, non-union, peri-op infections vs collapse of the medial condyle, ligamentous instability, malalignment of the axis, articular incongruity leading to post traumatic arthritis. Aim was to assess the anatomical reduction of articular surface of upper end of tibia and knee joint perfectly by operative treatment with internal fixation.  </p><p class="abstract"><strong>Methods:</strong> The study was done for a period of 1 years on 30 patients with bicondylar tibial plateau fractures diagnosed with Schatzker type V and VI. Age ranged from 20-60 years with majority being in 30-39 years range with a largely male preponderance. Patients were followed up to 12 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> Our study reported Honkonen Jarvinen clinical outcome to be 86% excellent, 11.7% good and 1.7% fair. The functional outcome was 81% excellent, 13 % good, 5% fair and 1% poor. The Radiological outcome showed 79.2% excellent, 12 % good, 0.70% fair results. Our study used Honkonen Jarvinen criteria for radiological, functional, clinical outcome which showed excellent to good result.  </p><p class="abstract"><strong>Conclusions:</strong> Dual plating is ideal for all bicondylar Tibial plateau fracture of Schatzker type V and VI with appropriate timing of surgery and understanding the anatomy, LCP system, appropriate technique with dual incision, the complication can be minimized, giving excellent to good results.  </p>

Introduction: Fractures of the femoral neck are common injuries occurring in the elderly population due to osteoporosis. They present a significant challenge to Orthopaedic surgeons because of the high rate of complications like nonunion, avascular necrosis, and associated comorbidities. Historically, Austin Moores prosthesis has served as an exemplary implant over the years in the management of intracapsular fracture neck of femur in older individuals. Our aim of the study is to asses postoperative function in these population and to validate the use of AMP in current Orthopaedic practice. Methods & Materials: This is a hospital-based cohort study. We did this study in thirty patients who had the fractured neck of the femur using Austin Moore Prosthesis, who are admitted to the Department of Orthopaedics in Great Eastern Medical School & Hospital, Srikakulam from Dec 2017 to Dec 2019. All patients were followed for twelve months. It is a patient-reported outcome study based on a questionnaire using a Harris hip score. Results: Harris hip score, which is the gold standard in the assessment of postoperative function in hip surgeries was used in this study. We graded the patients as excellent, good, fair, and poor depending on the functional outcome based on each criterion in this scoring system. The functional results were excellent in 50%, good in 23.3%, fair in 23.3%, and poor in 3.3% of cases. The poor results are due to moderate hip pain after surgery. The complication rate was low. Conclusion: Hemiarthroplasty with Austin Moore Prosthesis proved to be a good choice for the management of fracture neck femur in the elderly population with limited physical demand and low economic background. The mortality and morbidity are low; the operative procedure is simple with satisfactory functional results and fewer complications.