Introduction: Forearm fractures are one of the most common injuries encountered by an orthopaedic surgeon. Before AO (Association for Osteosynthesis), they were treated with cast immobilization and also other fixation techniques which were described such as intramedullary k-wire, intramedullary nail, external fixator etc. Though still relevant today, however they have been demonstrated to be successful only in selected cases, with high rate of non-union, malunion and with ill effects on the functions of the forearm. The most effective method of producing rigid internal fixation by the use of compression plates was developed by AO School in Switzerland. Objective: The aim of this study is to assess the results of fixation of fractures of shaft of both bone of forearm with dynamic compression plating (DCP) and its advantages and its complications Setting: This study was conducted at the orthopedics department of a teaching hospital in India. Design: This was 2 years prospective, longitudinal, hospital based, observational study, and its outcomes. Participants: The study was done in 30 patients (22 males and 8 females) with fracture both bone of the forearm, who were treated with open reduction and internal fixation with dynamic compression plate and screws at Mahatma Gandhi Memorial Hospital (attached to Kakatiya Medical College, Warangal), between January 2017 to January 2019. Results: Anderson's criterion was employed to categorize the functional results. Good or full range of mobility of elbow and wrist joints, with excellent and satisfactory results was present in 28 patients (94%), 1 patient (3%) having restriction of elbow motion and pronation and supination and 1 patient (3%) with non-union of ulna, who recovered with bone grafting. Conclusion: Based on our experience and results, we conclude that with anatomic open reduction and rigid internal fixation with dynamic compression plate is a good fixation procedure for displaced diaphyseal fractures of both bone of the forearm. Adherence to strict asepsis, AO principles, proper postoperative rehabilitation and patient education are more important to obtain excellent results.

Background: Supracondylar fractures of the humerus are the most frequent fractures affecting the paediatric elbow and their correct management is important because they can cause catastrophic complications. Hence; the present study was undertaken for comparing the efficacy of two different techniques of management of Supracondylar Fracture of Humerus in Children. Subjects and Methods: A total of 30 children with displaced supracondylar fractures who presented to the emergency department were recruited in this study. Group 1 consisted of patients who were treated with medial lateral pin fixation, and group 2 consisted of patients who were treated with 2 lateral parallel pin fixations. Treatment was carried out in all the patients under septic conditions under the hands of skilled and experienced orthopaedic surgeons. Outcome was assessed in all the patients and was compared. All the results were summarized in Microsoft excel sheet and were analysed by SPSS software. Results: Mean elbow extension loss among subjects of group 1 was 7.08 degree while among the subjects of group 2 was 7.09 degree. Mean elbow flexion loss among subjects of group 1 was 9.57 degree while among the subjects of group 2 was 10.28 degree. Non-significant results were obtained while comparing the mean elbow extension and elbow flexion loss among subjects of both the study groups. Conclusion: Both the techniques can be used with equal efficacy for treating supracondylar fractures of humerus in children.