BACKGROUND: supracondylar humerus fracture represents most common fracture around elbow in children. This type of fracture usually results due to fall while playing or fall from height on outstretched hand. The treatment of displaced supracondylar fracture of the humerus is one of the most challenging one to prevent complications. METHOD: The study was conducted at department of orthopedics dr. Shankarrao Chavan Government Medical College and Hospital Nanded for treatment of supracondylar humerus fracture .this is a prospective study of 60 cases over period of 18 months ( 2019- 2020 ) RESULT: Extension type fractures were seen in 98.33% of the cases as compared to exion type in 1.66% of the patients.70% had Gartland type III fractures and 30% had type II fractures. 45 had almost full range of motion, 9 had restricted exion ranging from >5 to 10 degrees, 4 children had restriction of exion between 10 to 15 degrees and 2 patients had restricted exion from 15 to 20 degrees. The average restriction of exion was 5.83 degrees. Outcome of patients were graded as per the criteria given by Flynn et al and according to it 46 patients had excellent outcomes, 8 had good results, 4 cases had fair outcomes while only 2 patients had poor results. Out of the 60 patients, 58 (96.66%) had satisfactory outcomes and only 2 (3.33%) had unsatisfactory outcome. CONCLUSION: Percutaneous kirschner wire pinning is a minimally invasive technique that provides a better functional outcome with minimal complications. Hence we concluded that closed reduction and crossed percutaneous pinning is a effective method of treatment .

Background: Calcaneum is the largest of the tarsal bones and the largest bone of the foot. Calcaneum fracture account for 2% of all fracture of the body and 60% of all tarsal fractures. Many calcaneal fractures are work related as they result from a fall from height, especially in male age 35-45 years. In our study we treated the displaced calcaneal fracture with closed reduction and percutaneous fixation using multiple percutaneous K-wires and screw to evaluate their functional outcome. Methods: The study was conducted as a prospective study at the department of Orthopaedics, Dr. Shankarrao chavan Government Medical College, Nanded, India during the period January 2019 to June 2020. Thirty patients of 20 to 60 years, who underwent surgical fixation for displaced calcaneal fracture using multiple K wires and screws were followed up. Functional outcomes at six month follow up were assessed. Results: In this study we selected 30 patients with displaced calcaneal fracture admitting in our institute. All patients underwent operative procedure in the form of multiple k wire and cc .screws by percutaneous approach Out of all 30 patients treated with this method had shown excellent results with minimal postoperative complications. Conclusions: The study with percutaneous K wires and screws for displaced calcaneal fractures showed very good functional outcome. Although it was not free of complications, our study has shown very good results. Technique involve in our study is less invasive, with minimum blood loss, less operative time without soft tissue stripping.