Introduction: Distal radius fracture is extremely common and represents 16% of fractures treated by orthopaedic surgeons. Near anatomical reduction with restoration of radial length, radial tilt and ulnar variances are important for good functional results. A variety of treatment options have been proposed for distal radius fracture closed reduction and immbolization in cast has been the main stay of treatment, but because it invariably results in malunion, poor functional outcome and cosmetic outcome, other modality of treatment were brought into practice like percutaneous intrafocal pinning, transulnar percutaneous pinning, external fixation, plating etc. This comparative study was to compare the clinical outcomes of closed reduction with cast and closed reduction with Percutaneous Kirschner wiring. Materials and Method: Prospective study was conducted on 60 patients attending the Department of Orthopaedics, from December 2017 to May 2019 with extra-articular fractures (AO type 23-A2 and 23-A3) of distal radius and fulfilling all the inclusion and exclusion criteria. The cases were randomly divided into two equal groups of 30 patients, the first group treated by closed reduction and below elbow cast application, while the second group were treated by closed reduction percutaneous K-wire application and below elbow cast application. The radiological outcome of both groups were evaluated by measuring the Volar inclination, Radial inclination and Radial height, while the functional outcome was evaluated by the demerit scoring system of Gartland and Werley. Result: The Cast application group had 13 excellent, 9 good, 7 fair and 1 poor result the mean outcome score of the group was 5.2. The K wiring group had 11 excellent, 13 good, 5 fair and 1 poor result, the mean score of the group was 5.17. The unpaired student's t-test on the values obtained from both groups yielded a p-value of 0.9816. The mean radial height in the Cast application group was 8.033mm while the mean in the k wiring group was 11.783mm. The mean volar tilt was 4.867 degrees and 7.5 degrees respectively. The mean radial inclination was 14.23 degrees and 19.1respectively. Unpaired student's ttest on the values revealed a p-value of 0.0001 for all three. Conclusion:We concluded that closed reduction with percutaneous K-wire fixation under C-arm for treatment of extra articular fractures of distal radius gives statistically significantly better radiological outcome than treatment with closed reduction and casting alone, but there is no statistically significant difference in functional outcome.

Background: Olecranon fractures are some of the most common seen injuries seen in the casualty department. The current surgical intervention of displaced fractures are open reduction and internal fixation with k-wires and tension band wiring in figure of 8 fashion. It can also be surgically managed with intramedullary cancellous screw with tension band wiring. The present study is to compare the results of both the surgical procedures and to assess the pros and cons of the respective surgical interventions. Methods: This prospective comparative study was carried out from May 2017 to November 2019 in Krishna Institute of Medical Sciences, Karad, India where among 40 olecranon fractures, twenty were treated with Tension band wiring with K-wire and another twenty treated with intramedullary cacellous screw with tension band wiring and the results were assessed and compared. Results: In our study, most of the cases were type II B fractures according to Colton"s classification. According to Mayo elbow performance score, Excellent results found in 16 patients (80%), good in 2 patient (10%) and fair in 2 patient (10%) in cancellous screw group and in K wire group, 10 patient (50%) had excellent, 6 patient (30%) had good and 4 patients (20%) had fair results. No poor result was seen in both groups. Conclusions: From this study, we came to the conclusion that for displaced transverse and oblique olecranon fractures, using cancellous screw with tension band wiring gives better clinical outcome when compared to tension band wiring with K-wire fixation avoiding cost, work time loss and possible complications from implant removal.

Introduction: Proximal humerus fractures are commonly encountered fractures in general orthopaedic practices around 6% of fractures of humerus fractures. Material and Method: The present study had 40 cases of proximal humerus fracture treated by PHILLOS plate. This prospective study was conducted in the department of orthopedics at a tertiary care centre, Krishna hospital and research centre karad from May 2017 to November 2019 Observation: The most common complications included varus malunion the occurrence of which was 12.5%, AVN 5%, screw perforation of the humeral head into the joint 10% and infection 2.5% Results: The study shows 20% excellent, 60% good, 15% satisfactory and 5% poor results on Constant Murley Score. Conclusion: PHILOS plate holds the key to stabilization of proximal humerus fracture.

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To compare outcome of CC screw and TBW in medial malleolar fractures. Materials and Method: This is a prospective (From March 2018 to September 2018) study of 40 medial malleolar fractures treated at Krishna institute of medical sciences deemed university, Karad, Satara. It includes newly diagnosed patients with medial malleolar fractures admitted in hospital. Follow up period was till 24 months/ 6 months. Results: In this study, it showed that excellent and good results were achieved in 65% in CCS category and 95% in TBW category, Baird and Jackson scoring system used. Conclusion:We concluded that TBW is the better modality of fixation than CC screw for medial malleolar fractures resulting in excellent functional outcome of the ankle joint after open reduction and fixation.