Introduction:The elbow is the joint between your upper arm and your forearm. It is made of several joints. One of these is called the radial-capatellar joint. The disc-shaped radial head moves and rotates against a round part of the humerus called the capitellum. As your radial head moves against the capitellum, it allows you to turn your palm up (supination) and down (pronation), as well as allowing you to bend and straighten your elbow. The elbow allows you to move your hand in space and put it where you want it. The radial head is the key to this motion. Aims and Objectives:The aim of our study to compare the functional outcome in operative modalities in radial head fracture like radial head platting, excision in terms of range of movement, functional outcome, return to normal previous work. Materials and Methods: After institutional board approval and informed consent from patients, this prospective case controlled clinical study as carried out in 30 patient, with ASA physical status 1 and 2. All patients had anterior -posterior and lateral radiographs of elbow. The patients will be assessed preoperatively in form of range of movements, pain, stability.11 cases operated for radial head platting and 19 cases operated for radial head excision and assessed at follow up visits for range of movements, return to work and graded according to mayo's elbow score. Results: Among 30 patient, according to mayo's elbow score results are excellent in 18.18%, good in 45.45%, fair in 36.36% in patients treated with radial head platting and excellent in 36.84%, good in 63.15% patients treated with radial head excision. Average trauma and surgery interval was 3 to 5 days. The duration of hospital stay post operatively was less in radial head excision 2 to 3 days and 5 to 7 days for radial head platting. The mean time for union in radial head platting is 8 to 10 weeks except one patient had delayed union and it took 12 week until osseous union was evident radiographically. The average time for return to normal work was 11 weeks in radial head excision and 13 weeks in radial head platting. Conclusion: Radial head excision offers the following advantages when compared with radial head platting. a) better stability b) full strength c) good functional outcome. In our study, the rehabilitation time was much shorter for fractures operated with excision when compared with ORIF. Excision provides for short operating time, short hospital stay and early rehabilitation than ORIF. While ORIF have better functional outcome and less complication. If adequate fixation done in ORIF excels better results.

Worldwide osteoarthritis is the most common joint disorder. It results from mechanical and biological events that destabilize the normal processes of degradation and synthesis of articular cartilage chondrocytes, extracellular matrix and subchondral bone. These changes include increased water content, decreased proteoglycan content and altered collagen matrix, leading to the degeneration of articular cartilage. There is trend on rise to use platelet rich plasma to promote healing of the degenerated cartilage. The aim of the study was to evaluate whether the newer method i.e platelet rich plasma has any significant advantage. The study included a total of 50 cases with individuals ageing greater than 40 years. Patients without evidence of degenerative arthritis and with KL grade 3 and grade 4 were excluded from the study. At 1 month only 14% cases showed excellent, 68% cases showed and. 18% cases showed fair results. At 3 months follow up 16% cases showed excellent, 82% cases showed good and fair results were seen in 2% cases. No case had poor results. At 6 months follow up 16% cases showed excellent, 86% cases showed good and 6% cases showed fair results and no case had poor results. Platlet rich plasma is an excellent method of treatment in early osteoarthritis of knee.

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Background and Aim: Pilon fracture of tibia are difficult to treat. Age, Skin condition, Mode of trauma, Open injury further increases obstacles in healing process. Various modalities of treatment are available but no ideal treatment has yet evolved. Casting often leads to malalignment, increased chances of nonunion and also stiffness in the joints from prolonged immobilization. Hence the aim of the study was to see the effectiveness of open reduction and plating in pilon fracture of tibia in adults. Material and Method: A total of 20 patients were included in the study. All the included patients had fracture of distal tibia (pilon), aged >18 during the period of 2019-2020 in our hospital. Fracture is classified according to AO-OTA Classification. All are treated by open reduction and plating. Length and type of plate was selected as per fracture pattern. Post-Operatively above knee cast with leg elevation given to decrease pain and edema. The patients are followed up at regular interval of 4,8,12 and 16 weeks and results were evaluated using AOFAS for the results of treatment. Results: we had 60% excellent results, 20% good results, 10% had fair & 10% poor results Discussion and Conclusion: Open reduction and plating achieves strength of distal tibial (pilon) fracture shaft in all three planes of loading-bending, compression and torsion. The rate of union compared to other modalities of treatment is excellent.