Introduction: Fractures of proximal tibia have always been difficult to treat because of the subcutaneous location of its anteromedial surface. These days significant attention has been paid to the condition of soft tissue envelope. Study aims and objectives were to evaluate proximal tibia fracture union treated by Locking compression plate and to evaluate clinical outcome of fracture treated by Locking compression plate in regards to Knee range of movements and complications of Locking compression plate. Material and methods: A prospective study was done on thirty patients of proximal tibial fractures treated by locking compression plate in Orthopaedic Department of Dr. R. N. Cooper Municipal General Hospital, Mumbai. Duration of study was from February 2015 to September 2016. We included patients of both the genders from 18 to 70 years of age, those were treated with locking compression plates for intra-articular and extraarticular fractures of proximal tibia. However, type II and Type III open fractures (Gustilo Anderson), pathological fractures and patients with severe comorbidities were excluded from the study. Ethics committee approval was obtained. Informed written consent was taken. Data was collected from the patients. Results: Majority of the patients (30%) were in the age group of 31-40 years. There was male preponderance (80%) in the study while female patients constituted 20% of the study group. Road Traffic Accident was found to be the most common cause of fracture. As per AO classification system 3.3% of the patients were type A1, 13.3% type A2, 30% type A3, 16.7% type C1, 30% type C2 and 6.7% type C3. ORIF technique was used in 23 (76.7%) patients while MIPPO was used in 7 (23.3%) patients. Most of the fractures (83.4%) were united by 12-15 weeks while 1 (3.3%) fracture was united in less than 12 weeks and 4 (13.3%) fractures were united in more than 15 weeks. 26 (86.7%) patients had excellent results with full, pain-free function and 4 (13.3%) patients had good result. Conclusion: From this study, we concluded that ORIF with LCP seems to be good implant choice in proximal tibia fractures including difficult fracture situations.

Introduction: Hip hemiarthroplasty is the standard of care for the management of fracture of the femoral neck in elderly patients. While many approaches have been described each with its own set of advantages and disadvantages, final decision regarding the approach to be used often depends on the operating surgeon. This article discusses the functional outcomes of elderly patients with neck of femur fractures operated with bipolar hemiarthroplasty in a tertiary care centre. Materials and Methods: A prospective interventional study was conducted over a duration of 18 months after getting the approval from the institutional ethics committee at a tertiary care centre, consisting of 30 elderly patients (age >60 years) with neck of femur fractures. After required pre-operative evaluation patients were operated with bipolar hemiarthroplasty for the management of the femoral neck fracture. Intra-operative parameters like blood loss and duration of surgery were noted. Post-operative complications such as suture site infection, dislocation, nerve injury, deep venous thrombosis were studied. The improvement in functional outcome was evaluated comparing the pre-operative Harris Hip Score with that at the time of discharge, at 1 month follow up and six months follow up using standard statistical methods. Results: The average operation lasted 68.97 minutes, and 142.67 ml of blood were lost on average. There were no difficulties throughout the operation. There were three occurrences of wound infection among the postoperative sequelae. The typical length of a hospital stay was 12.07 days, whereas the average length of a bed stay was 3.6 days. The average Harris hip score before surgery was 45. The mean Harris hip score was 66 at the time of discharge, and at one month after surgery, it had increased to 75.60, a statistically significant improvement. The mean Harris hip score was 85.77 at six months following surgery, indicating a successful outcome from the intervention. Statistics showed that the improvement was substantial (p <0.05). Conclusion: Anterolateral approaches can reduce operating trauma, operation time, hospital stay, and bedtime. In turn, this can lower the associated perioperative risk in the treatment of femoral neck fractures in elderly patients undergoing hemiarthroplasty and can be used as an alternative approach for the same.

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Background: Fracture-dislocation of the humerus refers to the fracture of the proximal part of humerus associated with dislocation of the head from the humero-glenoid joint. It is occurs most commonly in elderly due direct low velocity trauma, while in younger age group, high-velocity trauma is needed. 1 Management of fracture dislocation of proximal humerus needs early reduction and fixation. In or prospective study we have observed the functional outcome and complications of management of displaced proximal humerus fragments with various methods.; Methods: A two-year prospective study was conducted after getting ethical approval at tertiary care centre on cases admitted with proximal humerus fracture dislocation as per the inclusion criteria based on Neer's classification evaluation was done after investigations like xray CT scan and surgery was performed. Postoperative follow-up was done at 1st, 6 th month and 1 year and outcome were evaluated for each case based on Neer's shoulder score of constant score. Results: 30 cases were studied which were operated according to neers classification by various methods. Mean age was 42.6 years. Constant Shoulder score was good in maximum patients (46.67%) followed by excellent in 33.67%, three patients (10%) had fair score while it was poor in 2 patients (6.66%). Conclusions: Proximal humerus fracture dislocation can be managed with various methods of treatment. Each method has its own advantage and disadvantages.

Background: ACL disruption is the commonest ligamentous knee injury among active adults, invariably leading to changes in knee kinematics which are most likely to result in secondary degenerative changes and long-term functional impairment. Thus, due to the ACL's crucial role as the primary restraint against anterior tibial translation, its reconstruction using varying graft options are being extensively studied for better functional outcome. Methods: In this prospective study, we analysed 30 patients having ACL tear (clinically and radiographically) and treated with arthroscopic reconstruction of ACL. Among these, 15 cases were operated using semitendinosus graft and 15 cases by using peroneus longus tendon graft. The study was conducted in a tertiary care hospital from January 2021 to June 2022 with minimum follow up of 6 months and maximum follow up of 15 months. Results: Mean Lysholm score (post op) in Group ST was 90.6±3.18 and in Group PLT was 92.2±2.65. The Lysholm Score and IKDC grading between the two groups was comparable and showed no significant difference. Post-Op laxity assessed using the Lachman’s grading showed normal findings in 70% patients, and of the remaining 30% (9 patients), 5 patients from ST group and 4 patients from PLT group showed 1+ laxity at follow up examination. Conclusions: Arthroscopy assisted ACL reconstruction with peroneus longus tendon autograft provides a steady knee, reduces postoperative donor site morbidity and enables early rehabilitation, similar to the traditional semitendinosus tendon autograft.