Worldwide osteoarthritis is the most common joint disorder. It results from mechanical and biological events that destabilize the normal processes of degradation and synthesis of articular cartilage chondrocytes, extracellular matrix and subchondral bone. These changes include increased water content, decreased proteoglycan content and altered collagen matrix, leading to the degeneration of articular cartilage. There is trend on rise to use platelet rich plasma to promote healing of the degenerated cartilage. The aim of the study was to evaluate whether the newer method i.e platelet rich plasma has any significant advantage. The study included a total of 50 cases with individuals ageing greater than 40 years. Patients without evidence of degenerative arthritis and with KL grade 3 and grade 4 were excluded from the study. At 1 month only 14% cases showed excellent, 68% cases showed and. 18% cases showed fair results. At 3 months follow up 16% cases showed excellent, 82% cases showed good and fair results were seen in 2% cases. No case had poor results. At 6 months follow up 16% cases showed excellent, 86% cases showed good and 6% cases showed fair results and no case had poor results. Platlet rich plasma is an excellent method of treatment in early osteoarthritis of knee.

BACKGROUND Lateral closing wedge osteotomy is a commonly accepted correction method for cubitus varus deformity. To fix the osteotomy many techniques are used, of which we used plating in our prospective study. MATERIALS AND METHODS Ten cases of cubitus varus deformity following supracondylar fracture of humerus treated by native splinting were operated by lateral closing wedge osteotomy fixed with plate between May 2016 and December 2016. RESULTS The mean followup period was 12 months. The results were analysed using Bellmore's criteria. Out of 10 cases, 7 had excellent results, 3 had good results. CONCLUSION The osteotomy fixed with plate provides more stability and early mobilisation.

BACKGROUNDMiddle third clavicle fractures are one of the most common types of fractures, especially in young adults. But management part is still under debate. In olden days, most of the fractures managed by conservative methods by arm sling and figure-of-eight bandage. Plating remains the standard procedure for fixation, an attracting alternative method of fixation is the Titanium Elastic Nailing (TENS). However, prospective randomised studies comparing the two methods of fixation are very minimal.

BACKGROUNDJuxta-articular fractures of tibia are most serious and complicated injuries, which are found to be very difficult to fix and manage. These types of fractures usually occur due to RTA and fall from height; ultimately those fractures are considered as high velocity injuries, which is associated with extensive damage of soft tissue and vascular disturbances.The aim of the study was to assess the functional outcome of juxta-articular fractures of the tibia using hybrid external fixator for closed and compound fractures.