Introduction: Distal 1/3 tibia shaft fractures pose a greater challenge to the surgeon due to its proximity to the ankle joint and due to lack of soft tissue protection. Choosing Modality of fixation in this fractures is quite difficult due to its proximity to ankle joint and less soft tissue coverage. Here this study tries to compare two most commonly used modalities that are tip locking nail and MIPO to find a better mode of fixation. Methods: There are 42 patients of fractures distal 1/3 tibia shaft fractures during a period of January 2016 and January 2017. They are randomly divided into two groups out of which 21 treated by tip locking nail and 21 patients by MIPO. Results: Out of 42 patients 21 (50%) treated by MIPO and 16 (50%) by tip locking nail. The mean age of the patient treated with the plate was 38.6 years. The mean age of patients treated by expert tibia nail is 39.18 years. 4 patients treated with MIPO had complications of superficial infections, ankle pain, implant failure. 7 patients operated by tip locking nail presented with knee pain, implant failure, malunion. Conclusion:Our study throws light on the tip locking nail as the effective method in lesser operative time, early mobilization of the patient and faster healing of fracture compared to MIPO. Even surgical wound infection rate was more common in MIPO than tip locking nail. But, anatomical reduction and proper fixation are achieved through MIPO than compared to tip locking nail.

Introduction: Road traffic accidents are one of leading causes of death in India. The steadily increasing incidence of road traffic accidents has become a major public health issue. alcohol consumption is one of the most common cause for road traffic accidents according to the World Health Organization (WHO), road traffic injuries are the sixth leading cause of death in India with a greater share of hospitalization, deaths, disabilities and socio-economic losses in the young and middle-aged population. India reported 35.1 accidents per 10000 motor vehicle in 2011, Karnataka is the fourth ranking state in road traffic accidents in India. Methodology:The study was conducted in victims of road traffic accident brought to tertiary care centre of Adichunchanagiri medical sciences, bg nagara between September 2016 and may 2017 The datas were collected regarding age, sex, nature of injury, educational status, type of vehicle, type of road user, time of incidence, history of alcohol intake, place of consumption. Results: Totally 1164 victims reported to casualty due to RTA and 442 of them were under the influence of alcohol, of which 33% of accidents were sustained in the age group 21-30 years,31.2% of the subjects had lower limb injury and 24.7% suffered from head injury,18.3% sustained upper limb trauma, 10.8% suffered chest injury, 8.6% were affected by faciomaxillary trauma. It was also observed that 99.09% of the victims were males. Majority of the victims were under educated, (33.03%) were agriculturists, most of the incidents occurred in the evenings 6pm-12 midnight. Conclusion:This study was carried out to know the involvement of alcohol consumption in road traffic accidents reporting to a tertiary care centre. It showed that most of the victims were males. Majority of the cases (38.2%) belong to the age group 21-30 years. Among the victims 39% were two wheeler drivers, 19% were three wheeler drivers followed by pedestrians (15.4%), four wheeler drivers (13.6%) and pillon riders (13%). Majority of the cases suffered lower limb injury This study clearly correlates the effect of alcohol and drug consumption in road traffic accident.

Tibial shaft fracture is the most common type of long bone fracture. The most common cause of fracture shaft tibia is vehicular accident followed by fall. Severe complications and major disabilities are common outcome of this fracture. This study was conducted to find out results and advantage of interlocking nailing for the management of tibial fractures. A prospective study had been conducted at SRTR Govt. Medical College Ambejogai, Maharashtra State, from Jan 2011 to Dec 2013. Twenty eight patients of closed or grade1compound fracture tibia who underwent fixation by interlocking nail were included in this study. Patient evaluated completely in the form of history, clinical and radiological evaluation. All the fractures united with union time ranging from 12 weeks to 28 weeks. In majority cases mode of injury was vehicular accident. None of the patients developed complications like hardware breakdown, patellar tendinitis, deep infection and nonunion The results obtained in this study have shown that interlocking nailing is ideal method of fixation of fracture tibia with least complications.

Introduction: Colles' fracture is the most common fracture encountered in the clinical practice and also hip Fracture which is also an old age fracture. Patients usually have moderate trauma like slip and fall on floor. Here in the study we are trying to correlate between colles' & hip fractures (inter-trochanteric, per trochanteric & neck of femur fractures).Can colles' be called as Predecessor or predictor of developing hip fracture in the future. Methods: There are 400 patients who were analyzed retrospectively from June 2015 to June 2018.They were selected depending on the hip fractures and previous history of wrist fractures. Results: out of 400 patients 292(73%) were females, 108(27%) were males. These patients had significant history of previous colles' Fracture following which they had developed hip fractures during the average period of 4 years following colles' fractures. Most of the patients had moderate trauma like slip and fall on floor. Ipsilateral cases were 192(65%) out 292 females, 67(62%) out of 108 males.126 (43%) of 292 females & 28(26%) of 108 males had co-morbidities (Diabetes, seizures, parkinsonism etc.) Conclusion: our study showed that patients of old age presenting with wrist fractures has to be evaluated for any predisposing factors for & has to be treated and prevented from developing future hip fractures.

No abstract