Background: Clavicle fracture is commonly managed conservatively but non cosmetic appearance and non union in few cases has led to increase in number of cases being managed operatively. In this study , we studied the functional and radiological outcome of clavicle fracture managed by plating. Material and Methods: A prospective study was conducted in GMC jammu on 30 patients from March 2020 to March 2021 . Patients were operated with precontoured 3.5mm compression plate over superior aspect of clavicle and patients were followed up at 2, 4, 6, 12 and 24 weeks post operatively. Results: In our study , mean time for union was 14.7 weeks with no patient reporting non union .Range of motion at shoulder joint was near normal and patients reported high VAS scores. Conclusion: Open reduction and internal fixation with precontoured compression plate for mid shaft clavicle fracture gives good functional and radiological outcomes with high patient satisfaction rates and without any major complications.

Background: Proximal femoral nail (PFN) is an intramedullary implant which has been commonly used in the fixation of intertrochanteric fractures. However, controversy comes about the effect of nail length on fracture union and other complications. A comparative evaluation of surgical treatment and functional outcome of patients with peritrochanteric fractures treated with short versus long PFN.Methods:  Total of 100 patients have been included in study out of which 57 belonged to group 1 and were operated with short PFN and rest 43 were group 2 operated with long PFN. Patients were followed up for 6 months and were compared on various parameters.Results: There is no significant difference noted in the two group. However, the surgical duration and blood loss for short PFN was significantly less as compared to long PFN.Conclusions: Short PFN is better implant for peritrochantric fractures both stable and unstable with quicker surgical time and lesser blood loss.

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Background: Distal humerus fractures are associated with many problems like fracture comminution and complex fracture anatomy. Achieving a good functional range of motion at the elbow with stability are the primary objectives in managing a comminuted distal humerus fracture.Methods: 25 consecutive patients were operated with bicolumnar plating for fracture distal humerus AO type 13C. The patients were kept in follow up for at least six months. Mayo elbow performance (MEP) score and flexion extension arc was calculated to study the outcome.Results: All patients achieved fracture union with mean MEP score of 73.2 and mean flexion extension arc of 93º. This was within the functional range of elbow. Stiffness was observed to be most common complication.Conclusions: Our study concluded that internal fixation with bicolumnar plating offers good functional results in comminuted intra-articular fractures even in osteoporotic bone with negligible complications.