AIM:To evaluate the clinical and radiological outcome in the management of distal femur fractures treated by distal femoral locking compression plate. BACKGROUND: Distal femur fractures are one of the common fractures occurring in road traffic accidents. Different treatment modalities with varying outcomes are seen in literature in the management of these fractures. MATERIALS & METHODS:The study was conducted in the department of orthopaedics at the Kamineni Institute of Medical sciences Narketpally. Patients treated for distal femur fractures with ORIF using distal femoral locking compression plates were evaluated to assess their clinical and functional results using Neer's scoring system and compared with the available literature. RESULTS: The mean time for union was 20 wks. With mean time to full weight bearing being 10.5 wks. CONCLUSION: Surgery in the form of ORIF with distal femoral locking compression plate for Distal femur fracture is a comparatively good treatment option for better out come and early mobilization with minimum complications. KEYWORDS: Distal femur fractures, Neer's scoring system. INTRODUCTION:Distal femoral fractures reportedly account for less than 1% of all fractures and comprise between 4%-6% of all femoral fractures. Supra condylar femoral fractures occur commonly among two populations, young patients involved in high-energy accidents (Including motor vehicle and motorcycle accidents and sports trauma) and older patients, often osteoporotic, sustaining lowenergy fall fractures. 1 Intra-articular fractures of distal femur present a huge surgical challenge. These fractures are difficult to treat and surgical treatment is usually recommended for favourable outcome as they are frequently comminuted and intra-articular. 2 As orthopaedic surgery has evolved, trends in treatment of supra-condylar and inter-condylar femoral fractures now more commonly involve varied operative management techniques. The goals of surgical treatment are anatomical reconstruction of the articular surfaces, reduction of the metaphyseal component of the fracture to the diaphysis, restoration of normal axial alignment, length and rotation, stable internal fixation, early mobilisation and functional rehabilitation of the limb. 3 Internal fixation devices that have been used to treat these fractures include the 95° angled blade plate, dynamic condylar screw plate, condylar buttress plate and retrograde supra-condylar inter-locking nail. However, as the complexity of fractures has changed from simple extra-articular supra-condylar types to inter-condylar and metaphyseal comminuted types, these implants may not be ideal. Double plating, and more recently, locked plating techniques have been advocated. However, with double plating, there is often extensive soft tissue stripping on both sides of the femur, resulting in reduced blood supply and potential non-union and failure of the implants . The Less Invasive Stabilization System (LISS) allows for fixed angle fixation of the distal femur and minimally inv...

Shoulder pain is one of the most common complaint in medical practice and often leads to significant disabilities. Spectrum of etiologies that can give rise to shoulder pain are acute trauma to a gamut of degenerative disorders. Objective: To evaluate clinical, radiological and arthroscopic correlation in various shoulder pathologies. To compare clinical findings with MRI findings of symptomatic shoulder. To compare clinical and MRI findings with arthroscopy. Material and Methods: This is a prospective study, which includes patients with various intra articular shoulder disorders symptoms. 12 patients who were received between October 2013 and September 2015, who were clinically diagnosed to have general shoulder pathology based on a positive Dugas test and or rotator cuff pathology, were evaluated with MRI and subsequently with diagnostic arthroscopy on the symptomatic shoulder. Results: Clinical examination found sensitivity of 78%, specificity of 67% for rotator cuff tears and MRI showed sensitivity of 100% and specificity of 67% for the same. The sensitivity of MRI is higher when compared to clinical examination. But specificity was found to be same due to small sample size. Glenohumeral instability lesions were found in 6 patients. SLAP lesion were found in 2 patients, Bankart in 3 patients, Hill Sachs in one patient. Clinical examination found sensitivity of 80%, specificity of 71% for glenohumeral instability and MRI showed sensitivity of 100% and specificity of 86%. The sensitivity and specificity of MRI is higher when compared to clinical examination. Conclusion: The sensitivity and specificity for all pathologies is higher for arthroscopy in our study as compared to clinical and MRI examinations, as is the observation of most workers in this field.

It has always been an engima for the management of such fractures because of numerous muscles attachment and paucity of space for fixing implant in fracture of proximal humerus. The object of the osteosynthesis is to reduce the displacement (usually rotation) of each fragment and hold it in place with an implant and allowing early mobilization. Objective: To evaluate the functional outcome of proximal humerus fractures treated with proximal humerus locking plates (PHILOS). Material and Methods: Using Neer's classification twelve patients of proximal humerus fractures were treated by open reduction and internal fixation with PHILOS plate through deltopectoral approach and were evaluated by Neers criteria at the end of follow up. Results: All the fractures of proximal humerus who met the inclusion criteria were treated with (PHILOS) plate. Proximal humerus fracture is common in age group of 31 to 40 years (41%). 8 out 12(58%) patients were male. In the present study 8(67%) cases had 2 part fracture; 3(25%) cases had 3 part fracture and one case (8%) had 4 part fracture. In our study we had 4 Excellent (34%) and 7 satisfactory (58%) results and 1 had unsatisfactory (8%) according to Neer's criteria. Out of 12 patients, 2(17%) had complication.1 patient (8.5%) had superficial infection and 1 patient (8.5%) had stiffness of the shoulder Conclusion: From our study it can be safely recommended that for proximal humerus fractures, PHILOS plating is a good choice of surgical treatment.