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Introduction: There has been a continuing debate regarding whether the posterior cruciate ligament should be sacrificed or retained at the time of total knee arthroplasty.It is still controversial which approach is superior because both cruciate retaining prosthesis and posterior stabilizing prosthesis have advantages and disadvantages. Materials and Methods: A cross sectional analytical study was conducted on 37 patients (20 in Posterior Stabilized group and 17 in Cruciate Retaining group) fulfilling the inclusion and exclusion criteria. The follow up was done at 1, 3 and 6 months during which functional outcome was compared using American Knee Society Score and associated complications were also compared. Results: At 6 months, the mean Knee Society Knee scores in Posterior Stabilized Group and Cruciate Retaining group were 91.05 ± 3.53 and 90.12 ± 3.57 respectively and mean Knee Society Functional scores were 89.75 ± 4.44 and 88.52 ± 4.24 respectively. The mean Knee Society Knee Score and Functional Score in both the groups were statistically not significant at pre-operative, 1 month, 3 months and 6 months as revealed by insignificant p value (>0.05). There were 3 complications in Posterior Stabilized Group which were 1 case of knee stiffness, 1 infection and 1 tibiofemoral subluxation. There were 2 complications in Cruciate Retaining Group which were 1 case of anterior knee pain and 1 periprosthetic proximal tibia fracture. Conclusions: Although, both the groups individually had significant improvement in regards to function from pre operative status to post operative status, there was no statistically significant difference in clinical and functional outcome between the two groups when compared with each other. However, the Posterior Stabilizing Total Knee Arthroplasty had better Range of motion score throughout the study. The complications associated with both the groups were comparable.

Introduction: Osteoarthritis is the result of mechanical and biological events that destabilize the normal processes of degradation and synthesis of articular cartilage chondrocytes, extracellular matrix, and subchondral bone. All-polyethylene (AP) tibial components were largely abandoned in favour of metal-backed (MB) components in the 1980s. metal backing is now the predominant design in total knee arthroplasty (TKA). The present study aimed to assess and compare the functional outcome, in patient with total knee replacement using all polyethylene and metal backed tibial prosthesis in Primary Total Knee Replacement. Material And Methods: Our is an analytical cross-sectional study in which we have included 36 patients with primary knee osteoarthritis kellgren –lawrence grade III, IV 18 patients in all poly group and 18 patients in metal backed group. In which during follow up X-rays and functional outcome was evaluated using the American Knee Society Score at 1, 3, and 6-month follow-ups for patients of both the groups and compared. Result: In all polyethylene groups the functional score at 1, 3 and 6 months were 51.39 + 8.1, 76.67 + 8.1 and 89.72 + 4.6 respectively. While in metal group, the mean functional scores were 50.28 + 5.8, 77.22 + 5.7 and 988.61 + 4.1 at 1 month, 3 months and 6 months respectively. The most common complication was stiffness in 13.9% of patients of both the groups followed by extension leg (5.6%), infection (2.8%) and proximal tibial fracture (2.8%) in both groups. In present study, 75% of the patient did not have any post operative complications among all study subjects. Conclusion: There is no statistically significant difference in clinical outcome between all polyethylene and metal backed, improved values in terms of functional and clinical scores preferably in both the group metal backed and all polyethylene group. This study is not without limitations. Even though it is prospective study, patients were followed for shorter duration only. Hence, a study with elegant methodology and long follow up period can accurately assess the efficacy of all polyethylene and metal backed prosthesis used in knee replacement surgery.

The aim of this study is to assess the radiological and functional outcomes of open reduction and internal fixation with volar locking plates in the treatment of unstable intra-articular distal radius fractures. In this study functional evaluation was performed using the modified Gartland-Werley scoring system and for the radiological assessment, radial inclination, volar tilt and radial height was compared pre and post operatively.