Background and objectives: Fracture of forearm bone are one of the most common injuries seen in day to day practice. The forearm, in combination with the proximal and distal radioulnar joints, allows pronation and supination movements that are important to all of us in the usual activities of daily living. The forearm serves an important role in upper extremity function, facilitating positioning the hand in space, thus helping to provide the upper extremity with its unique mobility. Exacting and decisive management is required after fractures of the shafts of the radius and ulna if function is to be restored. Results:The Limited contact dynamic compression plating of diaphyseal bones produced excellent Results, the advantages being early mobilization, rigid fixation and hence prevention of fracture disease. The only disadvantage is that it is more expensive than the DCP. Conclusions: The conclusion of our study was that Limited contact dynamic compression plate (LC-DCP) has a definite advantage over Dynamic compression plate (DCP) with respect to time to union and screw placement in comminuted fractures and in case of osteoporotic bone, but the complications, duration of surgery and surgical technique virtually remains unchanged.

Background: Distal fractures of the femur especially comminuted, intra-articular distal femoral fractures AO classification 33-C remain challenging fractures for orthopaedic surgeons. Due to soft tissue damage, comminution, articular involvement and extensor mechanism injury functional outcome is poor in fracture distal femur. Materials and Methods:We have done prospective study of 20 patients of intraarticular distal femur fracture AO classification 33-C treated operatively with locking compressive plate at S.S.G. hospital and medical college, Baroda during January 2014 to March 2016.We have studied functional outcome using neer's score, radiological outcome and complication associated with fracture fixation using LCP. Result: Out of 20 patients 14 were males and 6 were females. The youngest patient was 18yrs old and the oldest 70 yrs.4 patients had C1,10 pt had C2 and 6 pt had C3 type of fracture according to AO classification,12 patients were operated with extensile lateral approach.8 patients were operated using Swashbuckler approach. In 3 patients primary bone grafting was done for severely comminuted type C3 fracture. Secondary bone grafting was done in 1 delayed union case at 4 month. Pt shows sign of union at 9 month.1 Pt develop non-union treated with secondary bone grafting at 9 month with signs of union at 12 month.1 pt develop infection on 4 th post-operative day resolved with surgical debridement and antibiotic. The average duration of weight bearing was12 weeks. Average time for fracture healing was 20 weeks. Average range of motion of knee was 110 degrees. Among 20 patients there were 9 excellent result, 5 good results, 3 had fair results and 3 had poor results. Discussion: The LCP acts on the internal fixator principle as screws once locked to the plate do not pull the fracture towards the implant, and hence there is no displacement of the fracture once reduced. Distal femur locking plate provides angular stability and provides multiple options to secure fracture fragments, both metaphyseal and articular. In our study we get better functional outcome using locking compression plate for intraarticular distal femoral fracture. Along with anatomical reduction and rigid fixation, early mobilization and aggressive physiotherapy are key for better functional outcome. Conclusion: In present study better functional outcome achieved using locking compression plate for intraarticular distal femoral fracture along with aggressive physiotherapy.

Background and objectives:The forearm represents a critical anatomic unit of the upper limb, permitting the effector organ of the upper limb, the hand, to perform multi axial daily activities of living. Historically, the closed management of forearm fractures has been met with poor functional outcome in adults, hence perfect fracture reduction and rigid fixation is mandatory and achieved by plating. Conservative treatment has resulted in malunion, nonunion, synostosis and ultimately poor functional outcome [1] . Hence the present study was undertaken to provide satisfactory functional outcome and to know the advantage and complications of the newer plate design, the LC-DCP. Materials and methods:The present study was conducted in Department of Orthopaedics at Sri Siddhartha medical college, hospital and Research Center Tumkur during the period from August 2014 and July 2016. A total of 32 patients attending the hospital during the study period with closed diaphyseal fracture of both bones forearm aged more than 18 years who were medically fit for surgery were included in the study. Results: In this study, Males were predominant with left forearm affection more than right. Most of the fractures were due to road traffic accidents and fall. The average age was 33.5 years with fracture being most common in second and third decade. Most of fractures both bones forearm were located in the middle third and the fracture pattern, transverse/short oblique was commonest. 32(100%) Radius and 32(100%) ulna united within 6 months. The results were based on Anderson et al, scoring system and in our study there were 26 (81%) patients with excellent results, 6 (19%) patients with satisfactory results. Conclusion: Our study shows that LC-DCP plating of both bones forearm produces excellent results when applied properly. To obtain excellent results: proper preoperative planning, minimal soft tissue dissection, adherence to AO principles, strict asepsis, proper postoperative rehabilitation and patient education are mandatory

Introduction and Objectives: Plantar fasciitis most common degenerative condition causes severe heel pain near the site of origin of the plantar fascia. Any heel pain due to plantar fasciitis persisting will often distress the patient, so right intervention at the right time is needed. Intra-lesional steroid is being used widely, but it has its own side effects. New studies have shown PRP promote removal of necrotic tissue but also enhance tissue regeneration and improve symptoms. We studied to assess the Functional outcome of autologous platelet rich plasma injection in patients with chronic plantar fasciitis. Objectives: To evaluate Functional outcome of autologous platelet rich plasma injection in patients with chronic plantar fasciitis. To recognize any complications associated with platelet rich plasma injection. Materials and Methods: A prospective study was done at Sri Siddhartha Medical College, Hospital & Research Center, from October 2015 to April 2017. Inclusion criteria include plantar heel pain longer than 6 weeks, failed conservative management of at least 4 weeks duration. In 100 patients, single dose of autologous PRP injection was given and followed up for 6 months. Patients assessed functionally using AOFAS, VAS scores and recorded before treatment and on follow-up at 1st month, 2nd month, 4th month, and 6th month. Results: We had highest number of patients in age group between 31 to 50 years. Out of 100 patients, 60 patients had 100% pain relieved, 28 patients had more than 50% pain relieved, 8 patients had less than 50% pain relieved and 4 patients had no pain relief. No other complications were seen in any patients. VAS and AOFAS score were statistically significant at follow ups (p value is <0.0001). Conclusion: PRP is a biological option for a common orthopaedic and recalcitrant orthopaedic problem like heel pain/plantar fasciitis. Our study has shown that autologous PRP injection is more effective treatment for long term relief of chronic heel pain.

Background and objectives:The forearm represents a critical anatomic unit of the upper limb, permitting the effector organ of the upper limb, the hand, to perform multi axial daily activities of living. Historically, the closed management of forearm fractures has been met with poor functional outcome in adults, hence perfect fracture reduction and rigid fixation is mandatory and achieved by plating. Conservative treatment has resulted in malunion, nonunion, synostosis and ultimately poor functional outcome [1] . Hence the present study was undertaken to provide satisfactory functional outcome and to know the advantage and complications of the newer plate design, the LC-DCP. Materials and methods:The present study was conducted in Department of Orthopaedics at Sri Siddhartha medical college, hospital and Research Center Tumkur during the period from August 2014 and July 2016. A total of 32 patients attending the hospital during the study period with closed diaphyseal fracture of both bones forearm aged more than 18 years who were medically fit for surgery were included in the study. Results: In this study, Males were predominant with left forearm affection more than right. Most of the fractures were due to road traffic accidents and fall. The average age was 33.5 years with fracture being most common in second and third decade. Most of fractures both bones forearm were located in the middle third and the fracture pattern, transverse/short oblique was commonest. 32(100%) Radius and 32(100%) ulna united within 6 months. The results were based on Anderson et al, scoring system and in our study there were 26 (81%) patients with excellent results, 6 (19%) patients with satisfactory results. Conclusion: Our study shows that LC-DCP plating of both bones forearm produces excellent results when applied properly. To obtain excellent results: proper preoperative planning, minimal soft tissue dissection, adherence to AO principles, strict asepsis, proper postoperative rehabilitation and patient education are mandatory