<p class="abstract"><strong>Background:</strong> Olecranon fractures are one of the common fractures around the elbow, comprising around 37% of all fractures occurring around the elbow. Olecranon fractures are commonly treated with either plating or tension band wiring. The purpose of current study is to compare the clinical and radiological outcome of tension band wiring and plate fixation in patients operated for olecranon fractures.</p><p class="abstract"><strong>Methods:</strong> Current study was conducted in a tertiary care center from May 2017-2019. Study compromises of 30 patients operated for olecranon fractures. Clinical and radiological outcome of patients treated with tension band wiring or plating and assessed using the Mayo’s elbow score at 6 months follow up.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of the 30 patients, 15 were treated with tension band wiring and 15 were treated using open reduction and plating. Out of the 15 operated with tension-band wiring (TBW) K wire on follow up 11 showed excellent score on Mayo elbow score, 2 had good results and 2 had fair results. In patients operated with Plating 12 showed excellent result on follow up and 3 showed good result. No patient had fair or poor score.</p><p class="abstract"><strong>Conclusions:</strong> Both tension band wiring and plate fixation are effective methods for treatment of olecranon fractures however complications regarding symptomatic metal prominence and superficial infection were higher in patients treated with tension band wiring as compared to plate fixations.</p>

A study evaluating the clinical and functional outcome of open reduction and internal fixation with volar plating followed by early mobilization in reverse Barton's fracture of distal radius. Method: 43 adults patients operated for distal radius reverse Barton's fracture (Muller AO classification type 23 B3) were studied and functional outcomes were assessed using the DASH scoring system. Result: Functional outcome was excellent in 29 (67%), good in 11 (26%) and fair in 3 (7%) accoridng to patient rated DASH score. Patients who obtained excellent and good results, had no residual deformities or pain. Complication occurred in 4 (9%) cases of which 2 (4%) had joint stiffness, 1 (2%) had superficial infection and 1 (2%) developed median nerve neuropathy for which plate was removed. Conclusion: Reverse Barton's fracture of the distal radius has excellent functional outcome with open reduction and internal fixation with volar plate. Anatomical reduction and early mobilization improves the outcome significantly.

The distal femur is an area that is particularly vulnerable to the dangers of our modern life styles and high velocity methods of transportation. Among young patients, fractures of the distal femur usually are a component of multiple traumas sustained through highvelocity, high-impact injuries such as motor vehicle accidents or fall from a height. Objectives: To analyze the functional outcome of distal femoral fractures treated by retrograde intramedullary nailing. Materials and Methods: Between January 2016 and June 2018, 11 distal femoral fractures in 10 patients were operated using retrograde intramedullary nail at tertiary care hospital Surat. There were 7 (70%) males, & 3 (30%) were females; Age was ranging 18-74 years, with an average of 43.4 years. 7 patients were due to polytrauma. Fractures were classified according to Muller's classification, 4.76% were Type A1, 14.8% were Type A2, 42.8% were Type A3, 9.52% were Type C1, 14,28% were Type C2 and 14.28% were Type C3. All the cases were operated with retrograde intramedullary nailing using patellar splitting approach. Observations: The mean operative time was 19 minutes (16 to 240 minutes). Primary bone grafting was done in 2 cases (19%), Open reduction was done in 2 cases. Post operatively knee mobilization was done using CPM. The average follow up interval was 13 months (3 to 36) months. Results: All fractures healed by 4 months range 3 to 3.5 months. The mean knee range of movements was 98 0 (80 0 to 140 0 ). There was deep infection in one case, shortening more than 2 cm in one case, 8 0 valgus angulation in one case, anterior knee pain in 1 case and implant protruding to knee joint in 1 case. There were no late mechanical failures of the implant. Neer's knee rating system was used to evaluate the function, there were 3 (30%) excellent, 5 (50%) satisfactory results, 1 (5%) was unsatisfactory results and 1(5%) of the case failed. The results correlated with age of the patient and the presence of an intra-articular fracture. Conclusion:This study shows distal femoral fractures were common in males due to high velocity injuries. Retrograde intramedullary nailing is an excellent technique for management of distal femoral fractures since there is less soft tissue dissection. The preferred portal of entry can be reached quickly & effectively, shortens the duration of surgery, decreases the need for bone grafting, high union rate and good knee range of movements. Complications were few, which includes infection, shortening, angulation and anterior knee pain.