Background: The tibial plateau fracture rates among the top 10 intra-articular fractures in terms of frequency. Due to the extreme displacement of the bony fragments, the accompanying depression and impaction of the cancellous subchondral bone, and the unavoidable cartilage injury, the fracture patterns are extremely complex and difficult to manage. Objective: The study amid to figure out the distribution of Radiological measurement of Schatzker type II Tibial Plateau Fracture by Proximal Tibial Metaphyseal. Methodology: This was a prospective observational study, carried out at NITOR, Dhaka, Bangladesh from July 2019 to June 2021. Purposive sampling technique was used. Results: The mean duration of radiological union was 13.3±1.6 weeks. The mean angular depression was 0.68±1.1 mm, condylar widening was 0.26± 0.68 mm, and the angulation was 0.480 ±1.50 mm. 64.5% cases were excellent and 35.5% were good at the most recent follow-up. Normal coronal alignments were observed in 87.1% instances upon final follow-up. Conclusion: Schatzker type II tibial plateau fracture by proximal tibial metaphyseal plate gives excellent to good functional outcome with minimal complications, so this is an effective and safe method.

Background: There are different factors responsible for chronic osteomyelitis. Objective: The purpose of the present study was to find out the bacteriological aetiology of chronic osteomyelitis patients. Methodology: This prospective hospital-based study was conducted in the Department of Orthopaedic and Traumatology at Cox’s Bazar Medical College Hospital, Cox’s bazar, Bangladesh from January 2019 to June 2022 for a period of three and half years. Eligible patients for enrolment in the present study had to sustain an osseous infectious process confirmed by radiological findings lasting more than 2 weeks without acute symptomatology or few contributory laboratory results. The bacteriological aetiology were recorded and the antimicrobial sensitivity testing were performed by dis diffusion test. Results: A total number of 89 cases of osteomyelitis patients were recruited for this study. The mean age with the SD of study population was 11.5±7.89 years with the range of 1 to 42 years. Infected scabies was the most common cause osteomyelitis among the study population which was 42.0% cases in children group; however, there was no cases in adult group. Otitis media, rhinitis dental caries were also found among the children which were 25.0% cases, 5.0% cases, 18.0% cases respectively. Among adult group implant surgery was the most common cause of osteomyelitis which was 65.0% cases. Most common bacterial isolate was Staphylococcus aureus which was 29(32.6%) cases. Coagulase Negative Staphylococcus (CoNS) and Proteus species were the second most common isolated bacteria which was 17(19.1%) cases in each. Gram negative bacteria like Escherichia coli and Pseudomonas species were the most common isolated bacteria which were 11(12.4%) cases and 9(10.1%) cases respectively. Conclusion: In conclusion implant surgery is the most common cause of osteomyelitis and Staphylococcus aureus is the most common isolated bacteria. Bangladesh Journal of Medical Microbiology, January 2022;16(1):8-13