Background: The introduction of platelet rich plasma (PRP) as a possible adjunct to conservative and operative treatment has motivated significant research into this topic. PRP is a set of autologous platelet products used to accelerate recovery from injury by bringing to the site of injury a set of molecules that will accelerate the functional recovery of the tissue by trying to regenerate it rather than merely repair with scar tissue. In this prospective study, we evaluate the results of PRP in tennis elbow and plantar fasciitis. Methods: During October 2013 to March 2015, 100 patients, 60 with tennis elbow and 40 plantar fasciitis, who visited our center with failed conservative treatment were treated with PRP, and results were evaluated with VAS, DASH and FHSQ scores. Results: Among 60 patients with tennis elbow (24 males and 36 females) post-PRP injection significant differences were observed between VAS and DASH score at baseline and after 4 wk and 8 wk (P<0.001). Among 40 patients with plantar fasciitis (16 males and 24 females) post-PRP injection significant results were observed between VAS and FHSQ scores at baseline and after 4 wk and 8 wk (P<0.001). Conclusions: PRP when given with proper care appears to be helpful in tennis elbow and plantar fasciitis. It is safe and a significant improvement has been observed in VAS and DASH scores for tennis elbow and VAS and FHSQ for plantar fasciitis.

Introduction: The Novel Corona Virus (Covid-19) Infection, Which Was First Reported In China In December 2019, Rapidly Spread Across The Entire World. Among 33 Districts Of Telangana, The Highest Cases Were Registered In 3 Hyderabad Of About 13,410 Cases The Objective Of This Paper Is To Highlight The Various Challenges Faced In This Covid Crisis In A Government Setup That Is Gandhi Medical College And Hospital Secunderabad With Available Sources And Constantly Growing Patient Load. Material And Method: We Have Divided The Entire Period Into Three Time Zones st nd The 1 Zone Covid-1 From April 2020 To November 2020 (The First Wave,8 Months) , The 2 Zone Covid And Noncovid From December 2020 rd To March 2021(Transition Phase Treating Both Covid And Noncovid, 4 Months) And The 3 Zone Covid-2 From April 2021 To July 2021 (The Second Wave,4 Months). Patients Were Classied Into 6 Categories A B C D Ps And Pc Depending To The Time Of Intervention. Results: The Total Number Of Cases In All The Time Zones Together Was Around 14,895 Cases. We Treated Around 959 Covid Cases And 10538 Cases In The Second Time Zone. Conclusion: With the covid pandemic causing havoc globally it made the orthopaedic surgeons introspect into the modalities of conservative management and its challenges, giving emphasis to "LIFE SAVING OVER LIMB SAVING” as the primary goal in management.

INTRODUCTION: Tibial plateau fractures are complex injuries produced by high- or low-energy trauma. Limb alignment, knee stability, articular surface restoration with adequate soft tissue healing allowing early functional range of knee motion are the main goals of the treatment. To analyse the functional outcome of proximal tibial plateau fractures and theOBJECTIVES: various modalities of treatment and complications. The present prospective study was conducted in theMATERIALS AND METHODS: department of orthopedics at Gandhi Medical College from November 2019 to June 2021.RESULTS: In spite of all the complex fracture patterns and soft tissue injuries and complications with proximal tibial fractures, the outcome was excellent in 22.50% of the study population and good results in 57.50% of the study population (overall 80% satisfactory results) with described standard xation methods. In addition we have 20% fair and 0% poor results. Treatment of intra articular tibial plateau fractures is still unresolved completely. Choice of theCONCLUSION: approach/implant should be strictly based on the good clinical judgment of fracture pattern, appropriate classication( Schatzker /three column concept) , bone quality and intra operative fracture reduction.