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Background: Fracture of the proximal humerus represents the second most common (29.1%) fracture type in the upper extremity after Colle's fracture (37.2%) of the wrist. Signicant controversy continues regarding the best modality for treating displaced proximal humerus fractures. The objective of our study is to comparatively evaluate the functional outcome of ORIF with Proximal Humerus Internal Locking System (PHILOS) and Close Reduction and Percutaneous Fixation with K-wires in proximal humerus fractures. Method: A prospective study was conducted after getting ethical approval at N.S.C.B. Medical College & Hospital, Jabalpur, (M.P.) upon 50 cases admitted with proximal humerus fractures as per inclusion criteria. 25 cases were treated with PHILOS plate in group A and 25 patients were treated with Closed Reduction and Percutaneous Fixation with K-wires in group B. Post op follow up was done at 6 weeks and 12 weeks and functional outcome evaluated by Neer's scoring criteria. Results: Out of 50 cases, excellent scores was obtained in 22 (88%) cases treated with PHILOS in group A, and 18 (72%) cases treated with k-wire xation in group B, satisfactory score was obtained in 3 (12%) in Group A and 6 (24%) in Group B. Conclusion: We obtained excellent results in both groups with each procedure having its own advantage and disadvantages. We found that PHILOS provides secure xation with better functional outcome in terms of range of motion. Fixation with Percutaneous K-wires is also efcient treatment option with intraoperative advantage in terms of invasiveness, blood loss and time taken for surgery with least tissue dissection than PHILOS plating

Background: Acute ankle injuries are one of the most common injuries in orthopaedic department. However, there is still lack of standardized evidence-based treatment. Therefore, the aim of our study was to compare and evaluate the functional outcome of Partial And Complete Immobilization Methods. Comparative evaluation of Functional outcome in ankleObjective: sprain patient treated with partial and complete immobilization and to identify factors affecting the functional outcome in patients with ankle sprain. Methodology- A prospective comparative study was designed from 1st jan 21 to 30th oct 21 49 patients fromMaterials and Methods: orthopedic OPD was selected whom were presented with the ankle sprain and ready to give consent irrespective of their gender. Lower Extremity Functional Scale(LEFS) and visual analogue scale (VAS) were observed at pre-treatment and post treatment at 1st ,3rd and 6th week were compared in both category. in the present study 35 patients were treated with partial immombilization method and 14 were treatedResult- with complete immobilization. Most of patients were belong to age group of 18-25. 67.3 % patients were male and 32.7% were female. 51% having left side injury while 49% have right side a Lower Extremity Functional Scale(LEFS) and visual analogue scale (VAS) were observed at pretreatment post treatment at 1st ,3rd and 6th week. - From our prospective study, we conclude that conservative management ofConclusion- ankle ligament injuries (grade I, II) is a safe and effective method of treatment. And partial immobilization is better than the complete mobilization.