Background: Subtrochantric region is cortical in nature and vascularity is slow so healing is not as fast as highly vascular area of bone. This area of femur is subjected to stress due to its muscular insertions. So there is greater chance of fixation failure, non-union, and failure of procedure. Keeping all these in view present study has been designed to study the anatomical and functional outcome of subtrochantric fracture treated with proximal femoral nail, to access the stability of fixation and mobility of the patients and compare the result with standard treatment. Method: Patients with sub trochanteric facture admitted in the department of orthopaedics and trauma are enrolled for this study based on inclusion and inclusion criteria. Standard operative procedure was followed management of subtrochantric fracture by proximal femoral nail. Demographic, intra-operative, post-operative variavles are recorded. Result: The duration of surgery was 95.636 + 16799 minutes in present study. The mean volume of blood lost during surgery was 114.387 + 17.90 ml and regarding complication of in intra operative period 12% patient required open reduction. Regarding post operative complication no patient were presented with implant failure, malunion and delayed union was present in 10% patients. Joint stiffness and shortening of limb was present in 8% patients. Discussion and Conclusion:We can conclude that subtrochantric fracture is common in elderly and trivial fall is common cause. Intra-operative variables during proximal femoral nailing were good with less blood loss and minimum deformities. Post-operative variables like non union and joint stiffness was less. Most of the patients have good functional out come.

Background: Treatment of fracture of humerus was always a challenge to medical practitioner as recorded by in ancient medical literature but iatrogenic damage during management was always concentration. Present study has been designed with an aim to evaluate surgical management of fracture shaft of humerus using nailing and plating technique. Method: Patients with fracture shaft of humerus who require surgical stabilisation were selected for fixation with dynamic compression plate or fixation by intramedullary nailing randomly by using sealed envelope method. In dynamic compression plating we used 4.5 mm compression plate in all patients. Regular evaluation of the patient was done by local examination and radio graphic examination functional evaluation, was done by Myo elbow performance scale, Shoulder function (Constant and Murley score) and American shoulder and elbow surgeon score (ASES scare). Result: Regarding functional status of joints based on score, the Myo elbow performance score was excellent in 12 patients in DCP group, good in 7 seven patients and fair in one patient. In interlocking nail group the score was excellent in 14 patients, good in 4 patients and fair in 2 patients. The p value was more than 0.05 which is not significant statistically. In DCP group the shoulder score (constant and Murley score) was excellent in 13 patients, good in 6 patients and fair in one patient. Discussion and Conclusion:Based on our observation we can conclude that there is no significant difference in functional outcome between platting and nailing group groups. Regarding complication between two group adhesive capsulitis was common in nailing group and delayed union was more in plating group.