Background: Historically it is difficult to treat intercondylar and supracondylar distal femur fractures. The aim of this study is to assess the clinical and radiological functional outcome of distal femoral both extraarticular and intraarticular fractures types(A,B,C) treated with locking compression plate. Material and Methods: We reviewed 30 distal femoral fractures treated with distal femoral locking compression plates between 2018 to 2019. There were 20 male and 10 female with mean age of 48 yrs(range 21 -70). More patients were of type A2 (AO classification) and had been caused by high energy trauma. Results: out of 30 patients, 11 had excellent, 13 had good and 6 had fair outcome. 6 patients had limb length discrepancy and 10 patients had extension lag. Three patient had valgus deformity and three patients had varus deformity. Conclusion: It provides better fixation of fracture in elderly patient with osteoporosis. Post operative early passive mobilisation of the knee gives good range of motion. Operative time is lessened as the locking compression is pre contoured and does not require anatomical fracture reduction.

This article aims to conduct a literature analysis on the current care and prevention strategies for postoperative problems following the repair of the anterior cruciate ligament (ACL). A presentation will be given on current trends in rehabilitation procedures, suggestions for interventions, and anticipated milestones in the healing process after ACL surgery. In recent years, protocols for ACL repair have progressed to a criterion-based progression rather than a tissue healing time frame. Because of advancements in ACL surgical reconstruction techniques and rehabilitation protocols, the danger of postoperative complications can manifest itself at any point during the recovery process. This includes both the beginning and the end of the process. In this paper, we will examine the significance of preventative measures for postoperative patient who has undergone ACL repair. Infection and loss of knee motion and strength are short-term complications that can occur after an ACL reconstruction. Longterm complications can include a secondary ACL injury to either the involved knee or the contralateral knee and the inability to return to high-level sports after this procedure. The multifaceted causes of secondary ACL injuries and the limited capacity of patients to return to high-level activities should continue to be the focus of future research.

Infections of the periprosthetic joint are catastrophic complications that can arise following arthroplasty. They are also associated with a significant increase in patient morbidity. More than twenty-five percent of all changes can be traced back to these illnesses, and it is anticipated that this number will continue to rise. This rise can be attributed, in part, to the rising rates of obesity and diabetes, as well as to an increased incidence of other comorbidities. Recognition of the difficulty of surgical site infections in general, and periprosthetic joint infections, has prompted implementation of enhanced prevention measures preoperatively, intra operatively (Ultraclean operative environment, blood conservation, etc.), and postoperatively. These enhanced prevention measures can be divided into three categories: preoperative, intraoperative, and postoperative (Refined anticoagulation and improved wound dressings). Indications for surgical management have also been refined, which is another positive development. In this Review, we investigate the risk factors, preventative measures, diagnostic procedures, clinical characteristics, and treatment choices associated with prosthetic joint infection. The most effective treatments and areas in which more investigation is required were determined during a meeting of experts worldwide to discuss these infections. Improvements in preventive, diagnostic, and treatment procedures could benefit the field of orthopedics.

Background: Proximal Tibia Fracture (PTF) includes different fracture patterns with varied degrees of articular depression and displacement. Many kinds of fixators, including newly designed plate with locking screws were applied to treat these complicated fractures. We intended to follow up the surgical outcomes of 1. Unilateral locking plate and 2.Classic dual plates. Materials and Methods We retrospectively reviewed 66 patients with PTF, Schatzker types V and VI, who we operated in our institute. Excluding patients who expired due to other medical conditions and without complete follow-up. e scheme of surgical intervention was designed by visiting staff, and 15 patients, as Group I, were treated with unilateral locking plate. e other 19 patients, as Group II, were treated with classic dualplates (one lateral approach locking compression plate (LCP)+medial antigliding plate). All patients were under periodic follow up at about 6 weeks interval for at least 18 months postoperatively. Results: In Group I, 11 cases achieved solid bony union without obvious traumatic OA change, limitation of ROM, or malalignment. In Group II, 17 patients reached the same goal, respectively. By analysis of the recorded parameters with statistical software (SPSS 12.0), there were five parameters with significant difference, including Schatzker classification, Operation time, Staged treatment done or not done, Period of hospitalization and Hardware impingement. Conclusion:Our study shows Dual plating provides better stability and outcome than unilateral plate fixation for Schatzker type V and type VI fractures. On clinical follow up one should keep a close eye.