Background: Distal fractures of the femur especially comminuted, intra-articular distal femoral fractures AO classification 33-C remain challenging fractures for orthopaedic surgeons. Due to soft tissue damage, comminution, articular involvement and extensor mechanism injury functional outcome is poor in fracture distal femur. Materials and Methods:We have done prospective study of 20 patients of intraarticular distal femur fracture AO classification 33-C treated operatively with locking compressive plate at S.S.G. hospital and medical college, Baroda during January 2014 to March 2016.We have studied functional outcome using neer's score, radiological outcome and complication associated with fracture fixation using LCP. Result: Out of 20 patients 14 were males and 6 were females. The youngest patient was 18yrs old and the oldest 70 yrs.4 patients had C1,10 pt had C2 and 6 pt had C3 type of fracture according to AO classification,12 patients were operated with extensile lateral approach.8 patients were operated using Swashbuckler approach. In 3 patients primary bone grafting was done for severely comminuted type C3 fracture. Secondary bone grafting was done in 1 delayed union case at 4 month. Pt shows sign of union at 9 month.1 Pt develop non-union treated with secondary bone grafting at 9 month with signs of union at 12 month.1 pt develop infection on 4 th post-operative day resolved with surgical debridement and antibiotic. The average duration of weight bearing was12 weeks. Average time for fracture healing was 20 weeks. Average range of motion of knee was 110 degrees. Among 20 patients there were 9 excellent result, 5 good results, 3 had fair results and 3 had poor results. Discussion: The LCP acts on the internal fixator principle as screws once locked to the plate do not pull the fracture towards the implant, and hence there is no displacement of the fracture once reduced. Distal femur locking plate provides angular stability and provides multiple options to secure fracture fragments, both metaphyseal and articular. In our study we get better functional outcome using locking compression plate for intraarticular distal femoral fracture. Along with anatomical reduction and rigid fixation, early mobilization and aggressive physiotherapy are key for better functional outcome. Conclusion: In present study better functional outcome achieved using locking compression plate for intraarticular distal femoral fracture along with aggressive physiotherapy.

Fractures of the distal end of radius are the most common fractures of the upper extremity and account for approximately 1/6 th (17%) of all fractures seen and treated in emergency rooms, external fixation devices are an excellent means of overcoming the displacing forces of the forearm muscles (by ligamentotaxis), devices like volar locking plates allow improved fracture fixation. They have been shown to provide excellent stability for an unstable fracture. The purpose of this study is to compare the two modalities for treatment of Intra-articular fracture of distal radius. Methods: This prospective study will be conducted in participants admitted in Sri Siddhartha medical college hospital, Tumkur between September-2020 to September-2022 with intra-articular fracture of distal end of radius. Follow up at 6 th week, 12 th week and 16 th week. Results: In present study, the mean Quick DASH scores in external fixator group was 10.4±4.7 compaired to volar plating group 7.1±2.9 at the final (16 week) follow up.

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Back Ground and Objectives: Tibia is the most commonly fractured long bone in the body with an annual incidence of Tibial shaft Fractures is 2 per 1000 individuals. Tibia is a large bone of the body and one of the principle load bearing bone in the lower extremity; Tibial fractures can cause a long morbidity and extensive disability unless treatment is appropriate. Various techniques are now available for the treatment of tibial fractures where the orthopedic surgeon must be aware of the advantages, disadvantages and limitation of each procedure to select the right choice of treatment for each particular patient. In case of tibial fractures the type; location; degree of comminution; age and patient's social and economic demand may influence the method of treatment. In distal tibia fractures; malunion and stiffness of joint are commonly encountered problems, due to which the use of non-operative treatment of widely displaced distal tibia fractures may result in poor functional outcome. Hence the present study was undertaken to provide satisfactory functional outcome and to know the advantage and complications of the Tibial Interlocking nail with polar screws. Materials and Methods: The present study was conducted in Department of Orthopaedics at Sri Siddhartha medical college, hospital and Research Center Tumkur during the period from August 2015 and July 2017. A total of 30 patients attending the hospital during the study period with closed distal third diaphyseal fracture of Tibia aged more than 18 years who were medically fit for surgery were included in the study. Results: In this study, the mean age of patients with this fractures was 37.2 years and maximum patients were in the age group of 31-40 years. Males predominated in our study. Road traffic accidents are the main cause of fractures followed by fall. In our series most of the cases were transverse fractures 13 patients (43.37%) followed by oblique fractures 9 patients (30%) and 8 patients with spiral fractures (26.7%). All the fractures taken into the account occurred at the distal tibial region. Results were excellent in 93.3% of the patients, good in 6.67% with no fair and no poor cases as graded according to Klemm and Bornner criteria. Conclusion:The method has a long learning curve but with the excellent results, the advantages of rapid rehablitation and relatively few complications recommends this procedure and technique for wider use of distal tibia fractures.

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