Background: Osteonecrosis of femoral head is aseptic necrosis due to disruption of blood supply resulting in the death of bone cells. Core decompression is a standard procedure in treatment of early stage of Osteonecrosis femoral head in young. Bone grafting can potentially revitalize the necrotic zone and accelerate healing. To look for functional outcome of core de Aims: compression & autologous cancellous bone grafting in early stages of Osteonecrosis of head of femur. This is a prospective and inte Settings And Design: Material And Methods: rventional study. Patients with early stages (Ficat Arlet I and II) were treated with core decompression & autologous cancellous bone grafting and were followed up for 9 months. The results were evaluated on the basis HHS and VAS. GraphPad Statistical Analysis Used: and EpiInfo were used for calculating the statistical data. Young males with unilateral hip pain with durat Results: ion of symptoms less than 6 months and Grade II at presentation with no denitive cause were more common. There was signicant improvement in HHS and VAS postoperatively till nal follow up of 9 months. More patients had good HHS grade at 9 months. There was no complication during course of study. Core Decompression and Autologous Conclusion: bone grafting is a safe and effective treatment modality in early stages of osteonecrosis of femoral head in young. To look for Objectives: functional outcome of core decompression & autologous cancellous bone grafting in early stages of osteonecrosis of head of femur.

No abstract

Objective: Evaulation of the complications from surgical treatment using a proximal humerus locking plate among patients with fractures of the proximal humerus. Methods: This is a non Randomised Retrospective and Prospective study carried out from 1 July 2017 to 30 December 2018. In this study a cohort of 30 patients from this institute and other hospital, all skeletally matured patients aged 18 years and above with proximal humerus fractures with two, three, four part fracture were treated using the PHILOS plate. There were 19 male patients and 11 female patients, with a mean age of 49.5 years (range: 18 to 81 years). All the cases had a mean postoperative follow up period of 15 months. Eight fractures were classified as presenting in two parts, 13 as three, 9 as four. Results: In this study, twelve were considered to have achieved excellent results, nine good, eight fair and one poor, according to the UCLA score. In our study of PHILOS plating most common complication was varus malunion and least common complication was implant failure. Conclusion:The functional results from treating fractures of the proximal extremity of the humerus using a locking plate depended on correct anatomical reduction of the fracture and stable fixation of the implant. Complications still occur frequently, particularly because of intraoperative technical difficulty, fracture severity and possible inexperience of the surgeon.

Introduction: The posterolateral tibial plateau fractures remain a challenge and usually a tough nut to crack even for experienced surgeons. The proximity of the neurovascular structures and difficulty owing to the presence of the fibular head demands surgical skills and expertise. The purpose of this study is to understand the technical difficulties such as difficult exposure, limitation of distal extension of approach, limited implant choices. Material and Methods: 14 consecutive cases of isolated posterior fractures of the posterolateral tibial plateau were operated with a modified posterolateral approach without exposing the CPN between September 2016 and September 2019. Articular reduction quality was assessed according to the intraoperative fluoroscopy and immediate postoperative radiographs. Patients were followed up at 2 weeks, 4 weeks, 2 months, 4 months and 6 months. International knee score was assessed online, at the end of 6 months. Results: All patients were followed up, with a mean period of 8 months (range 25-40 weeks). Bony union was achieved in all patients. The average range of motion arc was 126° (range 110°-135°) and the mean postoperative IKS was 94.2 (range 81-97) at 6 months follow-up. None of the patients sustained neurovascular complications. Conclusions: The modified posterolateral approach could help to expand the surgical options for optimal treatment of this kind of fracture, and plating of posterolateral tibial plateau fractures would result in restoration and maintenance of alignment. This approach demands precise knowledge of the anatomic structures of this region but the results are gratifying.

No abstract