Background: Tibia plateau fractures are most commonly managed with open reduction and internal fixation (ORIF) technique, external fixation via minimally invasive technique are an excellent alternative. The aim of this study was to assess the results of tibia plateau fractures by using the Ilizarov external fixator. The analysis was done both clinically and radiologically. Methodology: Some 72 patients with isolated tibia plateau fractures were brought to ED and clinics and assessed. The fractures were classified according to Schatzker Tibia Plateau Fracture classification, only Schatzker type III to VI were included using conventional X-rays. All patients for their tibia plateau fractures underwent surgical correction using Ilizarov technique with full weight bearing and knee range of motion allowed the next day. Patient follow-up up to one year was done. KOOS and self-appraisal were used to evaluate the knee pain and function. Results: All the fractures healed with 67 patients achieving a range of motion better than 0-100º. KOOS score shows that patients who had worse fracture patterns (Schatzker-V and VI) have worse global scores (p=0.002); still when managed with an Ilizarov it has been seen that these patients are able to maintain a moderately pain free knee (p=0.013) other aspects of the KOOS. Patients with higher BMI showed to have worsening fracture patterns with 20 out of the 30 overweight patients suffering Schatzker-V (66.67%). We experienced an extremely low rate of pin tract infections with only two debridements required. Conclusion: Ilizarov external fixation method is a valuable alternative treatment with excellent clinical outcomes and early mobilization.

Background:The proximal femur is a common area for development of skeletal metastasis that further disrupts an ill patient's quality of life. Resulting complications include pathological fractures leading to compromised functionality. Proximal femoral replacement allows to attain the requirements of surgery in metastatic bone such as stable fixation of the entire bone, allowing immediate weight bearing and the earliest possible return to function. Preventative treatment for metastatic lesions using an endoprosthesis before a fracture occurs, can modify the patient's quality of life, reduce pain and may decrease mortality associated with the lesion. Our aim is to present case based evidence to show that proximal femoral replacement provides a better option for limb salvage surgery after metastatic bone disease. Methods: Study design: Case Series

doi: https://doi.org/10.12669/pjms.38.3.5758 How to cite this:Junaid J, Bhatti A. A new functional Hip Scoring System compatible with Asian Lifestyle. Pak J Med Sci. 2022;38(3):442-444. doi: https://doi.org/10.12669/pjms.38.3.5758 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.