BACKGROUND: Incidence of fractures of distal radius are increasing due to more geriatric population and road traffic accidents. The fundamental goal of distal radius fractures treatment is restoration of normal or near normal alignment and articular congruity. Restoration of the anatomy and articular surface may prevent the onset of arthritis and improve function. AIMS: To determine clinical outcome of intra-articular distal radius fractures treated with plate and screws. METHOD: 20 patients of intra-articular distal radius fracture treated with open reduction and internal fixation with plate and screws between November 2012 and October 2014 were evaluated. Clinical and radiological evaluation was done at 3 weeks, 3 months, 6 months and one year after surgery. Fractures were classified according to Melone fracture classification. There were 8 type-2 fractures, 5 type-3 fractures,4 type-4 fractures, 2 type-5 and 1 type-1 fracture. There were 19 (95%) males and 1 (5%) females. Age range was between 24 to 50 years with average of 34 years. Fracture was stabilized with the plate and screws at an average of 5 to 7 days post trauma. RESULTS: All fractures had sound clinical and radiological union with an average radiological union time of 14 weeks (range between 2.5 -6 months). Average palmar flexion of wrist was 56deg, dorsi-flexion was 59deg, radial deviation was17deg, ulnar deviation was 23deg, pronation was 65deg and supination was 72degrees. Gartland and Werley system was used to evaluate the function, 80% of patients had excellent to good results out of which 20% were excellent and 60% were good results, and 15% had fair results and poor results were found in 5%. Average radial inclination was 21 degrees and palmar tilt was 9.5 degrees. CONCLUSION: Open reduction and internal fixation with plate and screws is an excellent, and effective technique in management of intra-articular distal radius fractures in terms of high union rate, anatomical reduction, maintenance of articular congruity and early mobilization and best functional outcome.

Fragility fractures, a form of stress fracture brought on by physiological stress on weak bones, are not common. It might be challenging to diagnose a fragility fracture since a standard radiograph shows signs of fracture repair rather than the actual fracture. We present a case of a 32-year-old woman who has been complaining of both leg pain for the last 4 months and has been unable to stand for the last 1 week. Further analysis revealed that her vitamin D levels were insufficient.

BACKGROUND: Knee Joint is one of the most important weight bearing joint and also an important joint in locomotion carrying daily routine activities. Hence any fractures around the bones of knee joint needs to be fixed meticulously in order to get the optimal functional activity. Tibia plateau fracture one of the most common fracture around knee joint. The present study involves the evaluation of LCP plating in fixation of proximal tibia fracture. MATERIALS AND METHODS: Prospective study of 40 patients was done from year 2017 to year 2020 in Department of Orthopaedics KIMS hubli in which 40 patients were operated with LCP for proximal tibia fracture RESULTS: Rasmussen’s functional grading system was used to evaluate the clinical outcome. End results 35 had excellent outcome. 5 had good outcome. Complications occurred were superficial wound infection in 5 patients . 1 had Deep vein thrombosis . 5 patients had extensor lag of 12 to 14 degrees. CONCLUSION: LCP plating system has given a good functional outcome for proximal tibial fractures by restoring the articular congruity and good anatomic reduction and rigid fixation.

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