Background: Historically, acetabular fracture therapy was generally insufficient, leaving many patients with incapacitating pain, mobility limitations, and joint failure. It's caused by high-velocity injuries and affects young, economically productive people. Proper treatment including optimum surgical care should be offered, especially in our uninformed and fiscally unstable society, to preserve lives and reduce long-term consequences and impairments. This research aims to examine and manage the posterior wall and column of acetabular fracture, focusing on aspects the treating physician may influence. Objectives: To assess the outcome of open reduction and internal fixation of posterior wall and column fracture of acetabulum which may help the orthopaedic surgeons to take appropriate measures as needed. Materials and Methods: 15 posterior acetabular fracture patients were studied. Cases were clinically and radiologically diagnosed in NITOR's emergency or outpatient departments (NITOR). All patients had open reduction and internal fixation by Kocher-Langenback technique. 1 hour 55 minutes was average operating time 21-day average hospital stay. Per- and post-op were uneventful. Patients were released with follow-up appointments. Patients were clinically and radiologically examined at each follow-up. Results: Most injuries were from RTAs (86.66 percent ). Most patients had left acetabular injuries (66.66 percent). Posterior wall acetabular fractures were more common (53.33%) than posterior column and wall fractures (33.33 percent). Most patients had surgery within 2 weeks after injury (60 percent ). 4 (26.66%) and 6 (40%) patients had good clinical and radiological outcomes following surgery. Most patients' clinical (46.66%) and radiological outcomes were favorable (53.33 percent). About 20% of patients were clinically and radiologically fair. 6.6% of patients had poor physical result, while none had poor radiological outcome. 20-40-year-olds had a largely ..........

Introduction: Tuberculosis of the knee joint is not very much common. It is the third highest affected site after spine and hip in osteoarticular tuberculosis. Diagnosis of TB knee is difficult because the clinical features are not typical. Ligaments reconstruction, meniscus surgery and many other procedures can successfully be done by arthroscopy in knee joint. Aim of the study: The aim of this study was to evaluate the incidence, clinical and laboratory findings and assess the treatment outcome of post arthroscopy MTB infections of the knee joint. Methods: This cross-sectional study was conducted in Ibn Sina Knee Centre, Dhaka and Northern International Medical College Hospital, Dhaka, Bangladesh during the period from February 2015 to January 2020. Purposive sampling technique used in the selection of the study patients. Somehow we selected 7 patients for the study with unusual presentations of night cries after arthroscopic procedures. Statistical data were analysed by MS-Excel 2016. Result: We describe 7 cases of isolated MTB infection after arthroscopic procedures in immunocompetent patients as study people for our inquiry. Almost all the study patients 6 (85.71%) treated by anti-TB drugs and 1 (14.29%) treated with MDR-TB drug. Almost all patients 6 (85.71%) had gain excellent results and 1 (14.29%) had good results. So we found a satisfactory result in the post arthroscopy tuberculosis of the knee joint with this treatment. Conclusion: We found Mycobacterium Tuberculosis (MTB) infection as a complication after arthroscopic procedures like anterior cruciate ligament (ACL) reconstruction and or meniscus surgery of the knee joint.

Introduction/Background* Vesicovaginal fistula (VVF) is a rare complication of simple hysterectomy, however urinary fistulas can occur in patients when cervix and surrounding tissue is distorted due to fibroids or cervical cancer Methodology A 43 years old lady was referred to our centre with complaints of continuous urinary incontinence post-surgery. She had undergone simple hysterectomy with salpingoophrectomy for undiagnosed cervical cancer.Clinical examination, cystoscopy and staging contrast CT scan showed 2 cm defect in posterior wall of urinary bladder communicating with vagina. There was no evidence of parametrial, vaginal or lymph node disease. Review histopathology confirmed squamous cell carcinoma of cervix. Da Vinci Xi system was used with port placements at the level of umbilicus. Prior to docking, bilateral ureteric catheters along with catheter in the fistula track was placed cystoscopically. Dome of the bladder was opened to visualise fistulous track completely. Bladder and vaginal wall were identified around the fistulous margin and mobilized. Vaginal edges were sutured in transverse direction and bladder edges were sutured in longitudinal direction so that both the suture lines were perpendicular to each other to reduce tissue tension and better healing. Continuous V-lock sutures were used for both vagina and bladder repair and an omental flap was placed at the fistula site for healing and preventing adhesions. Blood loss was 200ml. She had an indwelling bladder catheter for 2 weeks along with a prescription of bladder relaxants Result(s)* Her postoperative period was uneventful and CT cystogram on day 14 showed no urinary leak. She was referred for further adjuvant treatment in view of incompletely treated cervical cancer and presence of few peritoneal nodules diagnosed during repair. At 6 months follow up of VVF repair, patient is continent with no urinary complains, however she has progressive disease. Conclusion* In conclusion, Urinary fistula repair through minimal access route is feasible and allows early recovery with reduced morbidity.