Osteosynthesis with open reduction technique in comminuted fracture has several disadvantages like increase rate of non-union, soft tissue problem, infection and implant failure. These problems may be overcome by percutaneous bridge plating technique which preserve the vascularity and soft tissue attachment of fracture fragments. MATERIALS AND METHODS: Twenty-five patients were involve in this study. All of twentyfive patients with closed comminuted diaphyseal fractures of femur (n-10) and tibia (n-15) were operated on using the principle indirect reduction and biological fixation with bridge plate under image intensifier. Partial and full weight bearing were allowed according to clinical and radiological union. RESULTS: Most regained excellent range of motion of knee and ankle. Mean time of radiological union was 20.12 weeks. Two patients had superficial skin problem which healed with local wound care. One patient had non union which was healed by bone grafting. In this study excellent result was seen in 18 cases, good in five and fair in two patients. CONCLUSION: Our study indicates that minimally invasive bridge plating is an effective alternative for treatment of comminuted diaphyseal fracture of long bones. These complex fractures give complete recovery of normal limb function at an early stage with less complication.

Skeletal fluorosis is endemic problem in many parts of world including India as well as West Bengal effecting mainly low socio-economic group of populations. This study is to detect the epidemiological and clinical as well as radiological survey to detect and help to prevent the morbidity and mortality of the people from the so called slow environmental poison.

Introduction: Shoulder joint is the most common joint to get dislocated with the anteroinferior type being the commonest. Detachment of the glenoid labrum termed as Bankart lesion is the cause of recurrent shoulder dislocation. Arthroscopic repair has gained popularity in recent days. Methods: 33 patients were studied with a follow-up period of 1year after undergoing Arthroscopic Bankart repair by a single experienced orthopaedic (Arthroscopic) surgeon. All the patients included in the study strictly followed rehabilitation protocol. Modified University of California Los Angeles (UCLA) scale was used to evaluate the effectiveness of the surgery. Results: In our study the mean post operative UCLA score was 30.9 with maximum score being 34 and minimum score was 20. 51.5% patients had excellent result whereas 36.4% had good, 9.1% with fair and 3% with poor outcome. Thus, patients with satisfactory score returning to sports activity and job was 87.9% Conclusion: Arthroscopic Bankart repair gives good to excellent functional and clinical outcome in anterior shoulder instability.

Hip fractures, particularly in older persons, result in problems that extend far beyond the orthopedic injury, with repercussions in the areas of medicine , rehabilitation, psychiatry, social work, and health care economics. The degree of osteoporosis may influence fracture type. For these reasons, the treatment of intertrochanteric fractures is operative.

Thirty five patient with unstable fractures of the lower thoracic and lumbar spine managed uniformly with Hartshill fixation and sublaminar wiring were analyzed. On admission, 18 patients had complete neurologic deficit and 17 had incomplete lesions. The neurologic recovery and functional activities were assessed after an average follow up for 20.4 months. Improvement of neural function was seen in 71 % patients. Positive correlation was found between the level of injury and Frankel grades. The cord lesions tended to demonstrate more severe neurologic deficit than cauda equina lesions. A component of dislocation to the injury also resulted in a more severe neural deficit. The complications were minor. Stable fixation of thoracolumbar spine fractures was helpful in decreasing hospital stay and recumbency period, thereby facilitating early rehabilitation of the spine injured patients.