Angular deformities of the lower limbs are common during childhood. The concept of guided growth using a tension band plate is a breakthrough in the surgical correction of angular deformities. This approach has yielded satisfactory results and has low complication rates. We reviewed 210 papers with overall 433 patients and 809 deformities. Inclusion criteria included papers published from 2010 to 2017 in English literature. A Systematic review was done on 16 papers with seven outcomes: Change in mechanical axis deviation, tibiofemoral angle, rate of excellent outcomes, implant breakage, implant migration, inadequate reduction and rebound phenomenon. Thirty-two studies were included. Fifteen of them studied treatment of angular deformities by guided growth, three discussed the complications of using guided growth and five studies discussed biomechanics of using guided growth. Sixteen studies were included in our systematic review. Guided growth is effective in treating coronal deformities around the knee in skeletally immature children whether the cause was idiopathic or pathological. There is no limitation except if physeal bar is developed or the patient was near maturity. Few complications are associated with guided growth techniques including rebound phenomenon, inadequate reduction, implant breakage and implant migration.

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Background: Trochanteric femoral fractures constitute 3% of all fractures and a large portion of fractures after the age of 60. Trochanteric femoral fractures in elderly usually occur due to a low-energy trauma and can be treated successfully with internal fixation or prosthesis depending on the patient's age and general condition and also the quality of the bone. Aim and Objective: This is a systematic review to evaluate different techniques of fixation used in management of intertrochanteric fracture, regarding the efficacy results and complication of each technique in the literature. Methods: A review was performed using the Cochrane Central Register of Controlled Trials, PubMed, and MEDLINE as database for search. Results: the results of the study revealed that the percent of changes were 44.69% of RT side group A, 45.26% of RT side group B, 40.86% of LT side group A, and 45.90% of LT side group B with no significant difference between the studied groups. included studies focusing on intertrochanteric fracture fixation in elderly patients as the main research point, if it was not the main point, paper was excluded. Conclusion: Prosthetic replacements can treat unstable intertrochanteric fracture well, if operative indication is correctly selected. It is suitable for elderly patients and the operation should be performed by experienced surgeons.

Tibial fractures are the most common fracture of long bones. These wounds result from highvitality injury, for example, tumble from tallness and vehicle accidents.Management of distal tibia breaks, with or without articular association, is a restorative test. Numerous osteosynthesis procedures can be utilized for these breaks and these methods have favorable circumstances and disservices and there is no agreement concerning the administration of these cracks. Randomized forthcoming examination included 40 patients with distal third extra-articular tibia shaft cracks (20 rewarded with supracutaneous -LCP and 20 with MIPO plate), were chosen dependent on the break example and grouped utilizing the AO characterization (AO/OTA types 43A and distal 42A-C as it were). Gathering I, 15% of patients accomplished relationship between 20-24 weeks, 70% of patients accomplished joining between 17-20 weeks and 15% of patients accomplished association ≤ four months. In Group II, 5% of patients accomplished association ≥ 24 weeks, 10% of patients accomplished relationship between 20-24 weeks and 40% of patients accomplished joining between 17-20 weeks and in 45% of patients association took ≤ four months. The Lower Extremity Functional Scale is 74.87% in supracutaneous plate bunch l with mean (60.3±4.87). Furthermore, 75.93% in Mipo bunch ll with mean (60.3±4.87).with no measurably noteworthiness, (P. esteem is 0.481). This examination results show a predominance of supracutaneous plate over MIPO method as far as expelled after association with most straightforward expulsion, lower paces of profound contaminations and shorter opportunity to full weight bearing. Though MIPO procedure gave off an impression of being profitable over supracutaneous plate as far as prompting a superior anatomical and fixed decreases of the crack, a fast and straight forward application, has a diminished careful time and a lower pace of association difficulties.

Background: The use of a spanning external fixator in the treatment of distal radius fractures is well-established. It is a relatively new technique that builds on the concept of spanning and fixing a reduced and distracted distal radius fracture, but it has some additional potential benefits, including less obvious hardware complications, the ability to keep the hardware in position for longer, and the ability to allow immediate weight bearing over the fractured distal radius. Upper extremity surgeons benefit from having both methods at their disposal. In this study, researchers compared the effects and outcomes of internal fixation with bridging plates and external fixation of comminuted distal end radius fractures. Methods: Searches were conducted using keywords (Distal radial fractures, Bridging plate fixation, Radius, Comminuted radial fractures, external fixation, distal radius spainning external fixator). It was necessary to conduct a complete literature search from the SCI, PubMed, Cochrane Library, and Embase between January 2000 and October 2021 in order to identify all publications related to the research aim. The number of patients, average age, and length of time between internal and exterior fixation were all statistically examined. PubMed, MEDLINE and Life Science Citations were all searched. As a result, in 37% of patients treated with spanning external fixation, a pin track infection developed. An advantage of using a bridge plate over a spanning external fixator was shown in our analysis of individuals who had had treatment with the device. According to the DASH system, there was no difference between the two groups. For distal radius fractures, bridge plating looks to be a viable option to Spanning external fixation. In terms of clinical superiority and safety, there are only a limited number of comparison trials to make conclusions. For distal radius fractures, bridge plating looks to be a viable option to Spanning external fixation. In terms of clinical superiority and safety, there are just a few comparison trials to make conclusions. Preliminary comparison studies comparing the Spanning external fixator and bridge plating might be useful in the future, looking at both functional and radiographic results and problems.