Aim: The purpose of the present study is to assess the outcome of treating Gustilo Anderson open Type 3A mid shaft tibia fracture with intramedullary interlocking nail as well as external fixator. Methodology: In this prospective cohort study, adult patients (≥18 years-old) with Gustilo 3A open tibia shaft fractures treated by either intramedullary nail or external fixation (EF) were involved. This study was directed for a period of twelve months from March 2021 to February 2022. After registration, patients were followed-up at 2, 6, 10, 14, and 18 weeks postoperatively. At these appointments, degree of callus formation at fracture site and surgical problems (e.g. infection, limb length discrepancy, malalignment) were assessed. Results: Out of 50 patients registered in the study, 26 were treated by IM nail and 24 by external fixation. Twenty-four patients (92.3%) in the IM nail group and 6 (25%) in the external fixation group had callus formation by the 10th week. The mean times to callus formation in the IM nail group and external fixation group were 8.2±2.6 weeks and 14.7±3.3 weeks, individually (p=0.000). Two (7.7%) patients in the IM nail group and 3 (12.5%) in the external fixation group developed infection (p=0.661).

Introduction: Deformity of the neck and limited motion are commonly seen in pediatric orthopedics. The problem may be simply due to an intrinsic cervical issue or may be the manifestation of other underlying problems. To make a diagnosis of the nature and cause of neck deformity in the newborn is very important. Congenital torticollis is a condition that results in the deviation of a child’s head to one side, with accompanying limitation in the range of motion of the neck. Aims and objective: Objective: To investigate the clinical features and outcome of congenital muscular torticollis (CMT) with passive neck motion limitation according to whether the finding on ultrasonography (US) is normal or abnormal. Material and methods: A total of 32 patients with Congenital Muscular Torticollis (CMT) who met eligibility criteria were included: age at presentation 6 month to 1 year, limitation of passive neck rotation or lateral flexion were included in this study. Patients underwent physiotherapy and were followed-up monthly. The clinical research with torticollis at the Variety Center for Craniofacial Rehabilitation was done from 2019 to 2021 retrospectively. Clinical records, standardized medical photographs, and cephalometric radiographs of the affected patients were examined.

Background: laparoscopic treatment of hepatic hydatid disease has undergone revolution in parallel to progress in laparoscopic surgery. Controversies about the role laparoscopy in the management of liver hydatid cyst have not been resolved because of scarce experience worldwide. Objectives: The aim of our study was to compare surgical outcome of laparoscopic approach with open surgery for the management of hepatic hydatid disease. Methods: It was a retrospective and prospective study conducted in the department of surgery SKIMS Srinagar over a period of eight years from January 2008 to January 2016 in Sheri Kashmir institute of medical sciences Srinagar India, Srinagar. The study included all the adult patients admitted with a diagnosis of hepatic hydatid disease and the total number of patients studied was 80. All patients were pre-operatively and post-operatively treated with Albendazole. The patients were alternately taken either for laparoscopic approach or for open approach. For data that was included retrospectively patients were enrolled in either groups based upon the type of surgery they had undergone. Patients were followed for any recurrence for a period ranging from one year to six years with an average follow up period of 24 months. All the data was entered in detailed proforma and analysed. In laparoscopic group none of the patients had surgical site infection while as in open group 4 (10%) had surgical site infection. In laparoscopic group, biliary leak was seen in 3 (7.5 %) patients, while in open group it was seen in 2 (5%) patients. Recurrence was seen in 2 (5%) patients who underwent open surgery, while as recurrence was not seen in any of the patients who underwent laparoscopic surgery. Conclusions: Based on our encouraging results from our current study, we conclude that laparoscopic hydatid surgery is safe and feasible for selected patients in which criteria is met, motivated primarily by lower post-operative morbidity, mortality and recurrence.