Introduction:Flap surgeries are an excellent choice for closing large defects following trauma, excision of carcinomas or removal of large lesions. This article is a prospective interventional study of various flap surgeries performed at a tertiary care centre with their outcome in dermatosurgical unit.Materials and Methods:A total of 35 flap surgeries performed from January 2012 to December 2014 formed part of the study. Data were recorded for each case including age, sex, indications and type of flap surgery and any occurrence of complications.Results:Out of the 35 patients, basal cell carcinoma was the most common indication for surgery in 22 patients, followed by Bowen's disease in five, dermatofibroma in three and porocarcinoma in two. Other indications were squamous cell carcinoma, tuberous xanthoma, myxoid cyst and nevus sebaceous. Rhomboid flap and rotaion flap were done in 12 patients each, V-Y plasty in three patients, advancement flap, crescentic advancement flap and O-Z plasty were done in two patients each, O-Z plasty was done in two patients, A-T plasty and H plasty were done in one patient each. Common complications observed were flap necrosis seen in three patients and one patient developed hematoma on the second post-operative day, hypertrophic scar in one case and recurrence of BCC.Conclusion:Malignant and pre-malignant lesions were common indications in our study. Excellent outcome of flap surgeries promises to be a birdie stroke in the armamentarium of dermatosurgeons.

Background: Trauma management is an ever evolving part of orthopaedics and with the latest advancement in metallurgy, crafting processes and biomechanical studies, the implants used have been continuously changing. Distal femur fractures occur at a major joint and their management has always been complicated ranging from preoperative, intra-op to postoperative period. All the studies and research are aimed towards achieving the best functional outcome and functional outcome studies help in collecting and assimilation of the data for the same which further help in modification of techniques to further improve the same. This study focusses on the outcomes achieved by using the distal femur locking compression plate for the management of fractures distal end of femur. Materials and Methods: Prospective, unicentric, observational study from June 2018 -February 2020. All patients with distal femur facture were included. Pathological fractures, open fractures, fractures older than 3 weeks and patients with ipsilateral proximal tibia, patella and proximal femur were excluded. Surgical approach was surgeon's choice. Functional outcome was measured using Knee Society Knee Scoring system at 6weeks, 3 months, 6months and 12 months. Functional outcome measured at 12 months was used for evaluation. Results: 28 patients, 19(67.9%) males and 9(32.1%) females. 89.47% of males sustained the fracture due to road traffic accident and 66.66% of females sustained due to fall and all belonged to age group more than 60 years. The average range of motion achieved was 112.3° ± 8.2. Functional outcome at 12 months 71.4% patients had excellent, 25% had good and 3.6% patients had fair and no patient had poor outcome. Conclusion:Distal femur fracture is more common in the age group of 21-40 years. The average range of motion of knee achieved in Type A and Type B fractures are significantly better than Type C fractures. Excellent functional outcome was statistically significant in Type A and Type B fractures when compared to Type C fractures.