Background & objectives: Total hip arthroplasty is the most commonly performed adult reconstructive hip procedure. It relieves pain and functional disability experienced by patients with moderate to severe arthritis of the hip, improving their quality of life. The success of Total Hip Replacement arthroplasty is its ability to relieve the pain associated with hip joint pathology, while maintaining the mobility and stability of the hip joint. The most common condition for which total hip arthroplasty is done is severe Arthritis of the hip, secondary to AVN of head of femur accounting for 70% of cases. The primary indication for this procedure is severe pain and the limitation in activities of daily living that it causes. To warrant doing total hip replacement, pain must be refractory to conservative measures such as oral analgesics weight reduction and use of cane. The purpose of this study was to evaluate the clinical and radiological outcome of Total Hip Replacement using Modified Harris Hip score and radiological assessment. Methods:The study was carried out on 20 hips of 17 patients of Total Hip Replacement performed in Dept of Orthopaedics from April 2012 to April 2014.All the admitted patients with diagnosis of AVN of femoral head were operated with uncemented THR. This was a prospective study. Information of patients was obtained pre-op, post-op and at each follow ups. Functional outcome was evaluated using Harris hip score. Patient follow up was for a minimum of 3months to a maximum of 24 months. Results: 20 hips of 17 patients were operated with uncemented THA for AVN of head of the femur. Patients were evaluated both functionally and radiologically. Functional evaluation with Harris hip score (modified) showed excellent results in 15 hips, good results in 4 hips, and fair result in 1 hip. Radiological evaluation at the latest follow-up showed no signs of loosening or implant failure. Conclusion:We have evaluated THA using uncemented prosthesis. Our study suggests that current generation implants can provide satisfactory clinical and radiographical outcomes after a short duration of follow up. Though the study was not free of complications, the overall, functional and radiological outcome showed good results.

Introduction: Unstable, Comminuted intertrochanteric fractures continue to pose a challenge to the orthopaedic surgeon because of severe osteoporosis and medical disorders that increase the risks associated with surgery and anaesthesia. To overcome problems like lateral wall impingement and prominence of the proximal end of the nail, the PFNA-II was introduced in 2008. The PFNA II design modifications include the flat lateral shape of the proximal portion and a decrease in the mediolateral bending angle from 6 0 to 5 0 . The purpose of the study is to confirm that the PFNA II eliminates the problem of lateral wall impingement experienced with previous intramedullary nailing systems and provides stable fracture fixation with positive functional outcome. Materials and methods:This study was conducted on 52 patient of which 32 were available till follow up of 6 months. All patients we were diagnosed with unstable intertrochanteric fracture of femur and underwent closed reduction internal fixation with proximal femoral nail anti-rotation system II. Functional outcome was assessed with Modified Haris Hip Score and radiological outcome was assessed with TAD score and implant related complications. Results: Fracture union was appreciated on an average 4 months of postoperative period. 4 patient had superficial infection while 1 patient had deep infection. Only 1 patient had cut off of helical blade. According to modified Harris hip score, excellent to good outcome was noted in more than 80% of patient. Conclusion: From our study, we conclude that PFNA II can be a reliable and implant of choice for the management of unstable intertrochanteric fracture with high rates of union, restoring the anatomical alignment with less chances of implant failure and reduced chance of implant failure.

Background & Objectives: In a country like India where the social habits and needs, require full range of knee flexion, the patella plays an important role. The most significant effect of patella fracture are loss of continuity of extensor mechanism of knee and potential incongruity of patello-femoral articulation. So it is necessary to preserve the patella and extensor apparatus. Hence the main objectives of this study are: To study the functional outcome by early mobilization, to study the complications of tension band wiring, to clinically evaluate the tension band wiring technique for fracture patella, to study the mode of injury for fracture patella. Methods: The present study consists of 30 selected cases of fractured patella treated by modified tension band wiring at Shri B M Patil Medical College Hospital and Research Centre, Vijayapur from December 2014 to March 2016. Results: In the present study 21 (70%) had excellent results, 7 (23.33%) had good results and 2(6.66%) had poor result. Interpretation and Conclusion: Early mobilization of the knee restores quadriceps power and range of Kneemotion within a short period. Excellent range of movement was achieved in 70%of cases, which is comparable to previous literature.