usually involves hyperabduction or hyperextension of the os coxae. 1,2 We report a case of locked overlapping dislocation of the pubic symphysis, in which the pubis was locked into the obturator foramen. This may be the first report of this type of dislocation in the literature. CASE REPORTIn July 2004, a 20-year-old man was admitted to the Government Medical College, Thiruvananthapuram, India following a road traffic accident in which he was trapped between a wall and a reversing lorry. He sustained a low-velocity side-to-side compression injury. The patient was conscious and haemodynamically stable on admission. He was unable to walk or pass urine. A Foley catheter was introduced easily and the drained urine was clear. There was no evidence of external injuries other than a small bruise over the trochanteric area. Both anterior and superior iliac spines were at the same level, and there was no limb-length discrepancy. The patient was comfortable in a supine position, and both legs could be placed flat on the bed, with no apparent deformity. ABSTRACTA 20-year-old man sustained an overlapping dislocation of the pubic symphysis following a lowvelocity side-to-side compression injury. Such injuries are rare in the literature. This case, where the pubis was locked into the obturator foramen, may be the first of its kind to be reported. The pubic symphysis was successfully reduced by levering, with difficulty, the locked pubic body out of the left obturator foramen. As the reduction was unstable, the pubic symphysis was fixed with 2 reconstruction plates. The patient was able to mobilise fully after 3 months and returned to work. At 18 months' follow-up he was able to void urine normally after urethral repair.

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Background:Arthroscopic anterior cruciate reconstruction has become one of the most successful surgical techniques in sports medicine however initial secure graft xation is essential for the success of any ACL reconstruction. Objective: The study was done to evaluate the functional outcome of arthroscopic ACLreconstruction using hamstring graft xed with suspension button for femur and interference screw for tibial xation. Material And Methods: From 2017 to 2018 January in Sree Gokulam Medical College Venjaramoodu, Trivandrum, 48 patients underwent ACL reconstruction using semitendinous graft xed with suspension button at femur and interference screw at tibial site. 8 patients were excluded from the study. The age group in our study was between 20-50 years of age. We assessed the patients preoperatively and postoperatively with 6 and 24 months interval by IKDC knee score 2000. Results: Our study showed that Arthroscopically assisted ACL reconstruction could effectively improve stability and function of knee joint. In our study IKDC score was done at pre op and post-op with 6 and 24 months interval. Mean average IKDC score was 38.995 during the preoperative period, at 6 months was 55.253 and 24 months was 88.111. On comparison of the mean values for IKDC scoring for (a) preoperative period to 6 months was 16.258, (b) preoperative period to 24months was 49.116 and (c) 6 months to 24 months postoperative period was 32.858. The P values for all these comparisons were <0.001, hence signicant. There were eleven Isolated ACL injuries who had pre-op , six and twenty forth month post-op functional score of 44.04,63.35 and 90.259 respectively. Ten ACL with lateral meniscus injuries had pre-op , six and twenty forth month post-op functional score of 35.62, 53.85 and 88.348 recpectively. Nineteen ACL with medial meniscal injuries had pre-op , six and twenty forth month post-op functional score of 37.85, 51.30 and 86.74 respectively. Conclusion: Isolated ACL had better functional score. The improvement in the IKDC score was during the 6-24 month range. When ACL with meniscal injuries were compared, the one with ACLreconstruction and lateral meniscetomy showed better outcome.

BACKGROUND: Displaced supracondylar fractures of the humerus in children are common injuries treated by orthopedic surgeons. Various methods are used for treating these fractures. Closed reduction and K wire fixation has shown better results. METHODS: twenty five cases with Gartland type III supracondylar humeral fractures were treated with closed reduction and percutaneous lateral pin fixation with Kirschner wire and followed up for 6 months. RESULTS: Patients were assessed on the basis of Flynn's criteria. Results were excellent in 18 patients and good in 7 patients. There were no fair or poor results. CONCLUSION: It is concluded that closed reduction and lateral pin fixation is a safe and effective treatment modality for displaced supracondylar fractures with several advantages.