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Introduction: Isolated coronoid fractures in the pediatric age group are uncommon and ill-defined in literature; here, we are studying the characteristics of the fracture and surgical management to gain good functional outcomes in such cases. Case Report: A case of 9-year-old boy who presented with isolated right elbow coronoid displaced fracture Type IIIA of Regan and Morrey Classification, underwent open reduction internal fixation with headless screws and was followed up for 1-year postoperatively. A satisfactory functional outcome with full range of movement achieved with no complications at the final follow-up. Conclusion: Headless screw fixation for Type IIIA coronoid fractures in pediatric elbow gives good functional outcome and range of movements with low rates of complications. Keywords: Pediatric trauma, coronoid fracture, Herbert’s screw, pediatric elbow.

Background: Tibial diaphyseal fractures are one of the commonest long bone fractures encountered by most of the orthopaedic surgeons. Because most of the length of tibia is subcutaneous throughout, open fractures are more common in tibia than in any other major long bone. Because of high prevalence of complications associated with these fractures, management is often is difficult and the optimum method of treatment remains a subject of controversy. The aim of this study is to evaluate the efficiency of LRS in treatment of open fractures of tibia with other studies in terms of time required for union, rate of malunion and malrotation, rate of infection and range of motion of ankle and knee joint. Materials and Methods: This study was performed with 25 open fractures of tibia with LRS. All the cases were fresh fractures and traumatic in nature. They were done with procedure as early as possible and the secondary procedures of skin grafting and musculocutaneous flap were done when needed. The cases were followed up for an average period of 6-24 months. Results: Open fractures of the tibial shaft managed with LRS gave good functional results and patient satisfaction. It involves minimal surgical trauma and less blood loss. It provides the advantages of early ambulation, lower rates of infection, delayed union, nonunion and malunion compared to other treatment modalities. It provides with early weight bearing and earlier returns to work. Conclusions: It was concluded that early stabilization of open tibial fracture with LRS with immediate soft tissue coverage resulted in good fracture union and minimal rates of complications compared to other modalities of treatment. It is cost effective with minimal hospital stay and early return to work. Over all morbidity is reduced and better patient satisfaction noted.

Introduction: Unstable, Comminuted intertrochanteric fractures continue to pose a challenge to the orthopaedic surgeon because of severe osteoporosis and medical disorders that increase the risks associated with surgery and anaesthesia. To overcome problems like lateral wall impingement and prominence of the proximal end of the nail, the PFNA-II was introduced in 2008. The PFNA II design modifications include the flat lateral shape of the proximal portion and a decrease in the mediolateral bending angle from 6 0 to 5 0 . The purpose of the study is to confirm that the PFNA II eliminates the problem of lateral wall impingement experienced with previous intramedullary nailing systems and provides stable fracture fixation with positive functional outcome. Materials and methods:This study was conducted on 52 patient of which 32 were available till follow up of 6 months. All patients we were diagnosed with unstable intertrochanteric fracture of femur and underwent closed reduction internal fixation with proximal femoral nail anti-rotation system II. Functional outcome was assessed with Modified Haris Hip Score and radiological outcome was assessed with TAD score and implant related complications. Results: Fracture union was appreciated on an average 4 months of postoperative period. 4 patient had superficial infection while 1 patient had deep infection. Only 1 patient had cut off of helical blade. According to modified Harris hip score, excellent to good outcome was noted in more than 80% of patient. Conclusion: From our study, we conclude that PFNA II can be a reliable and implant of choice for the management of unstable intertrochanteric fracture with high rates of union, restoring the anatomical alignment with less chances of implant failure and reduced chance of implant failure.