Background: Supracondylar fractures of femur constitute 6-7% of all femoral fractures. In elderly patients, they are invariably low-energy fractures predisposed by osteoporosis. Aim of this article is to assess the complications of retrograde intramedullary femoral interlocking nail (RIFIN). Materials and methods: The study was conducted at a tertiary health care centre, cases were selected from November 2017 to December 2018. This prospective study was performed on 37 patients with supracondylar femoral fractures (AO type A and C). Results: Complications in our study included knee stiffness in 8 patients, anterior knee pain in 6 patients, shortening (1-2cm) in 3 patients, 3 patients had implant failure due to early weight bearing ambulation (one patient had distal screw back-out, one patient distal screw breakage and one patient had nail breakage), 2 patients had non-union (in which one patient had infected non-union), one patient had periimplant fracture and one patient had protruding nail. Conclusion: RIFIN is mostly limited for use in extra-articular distal femoral fractures. Although it has a high incidence of complications, it requires a greater amount of attention to the operative technique and patient selection in order to prevent these complications.

<p class="abstract"><strong>Background:</strong> Hemi-arthroplasty of hip for intracapsular fractures of femoral neck is one of the most commonly done surgical procedures in the low mobility older Indian population. Although there are numerous complications associated with the procedure, we want to study the types and management of peri-prosthetic fractures in patients treated with hip hemi-arthroplasty.</p><p class="abstract"><strong>Methods:</strong> A total of 26 patients were included in the study. A retrospective analysis of the radiological cum clinical diagnosis and management of peri-prosthetic fractures was performed. All patients were followed up till 1.5 years post-operatively.<strong></strong></p><p class="abstract"><strong>Results:</strong> According to Vancouver classification of peri-prosthetic fractures, 10 fractures were classified as type A, 7 as type B1, 3 as type B2, 4 as type B3 and 2 as type C. Fractures were managed either by Open Reduction with Internal Fixation (ORIF) or Revision hemi-arthroplasty. Fractures type AG, B1 and C were managed with ORIF and type B2 and B3 fractures were managed with revision hemi-arthroplasty using longer stem.</p><p class="abstract"><strong>Conclusions:</strong> As evident in our study, majority of fractures occurred intra-operatively, a thorough evaluation of pre-operative x-rays of both hips should be done along with special focus on anatomical variations. Correct diagnosis based on radiological and intraoperative findings followed by appropriate treatment are of paramount importance in the management of peri-prosthetic fractures.</p>

<p class="abstract"><strong>Background:</strong> Pertrochanteric fractures consume major part of orthopaedic injuries with high morbidity and cost factors. They affect almost all age groups. The treatment options vary a lot depending on the type of fracture and age. Despite marked improvement in implant design, surgical technique and patient care; pertrochanteric fractures continue to consume a substantial proportion of our health care resources.</p><p class="abstract"><strong>Methods:</strong> This prospective study consists of 20 adult patients of pertrochanteric fractures of femur, who were treated with internal fixation using PFLP. All patients were followed up at an interval of 4 to 6 weeks till fracture union and then once in 3 months till 1 year.<strong></strong></p><p class="abstract"><strong>Results:</strong> Anatomical results are noted as good or poor depending upon shortening, varus deformity, hip movements and knee movements and functional result as excellent, good, fair and poor depending upon the hip pain, ambulatory status, ability to squat, and sit cross leg. In the study 2 patients had shortening of l cm. None of the patients had any varus deformity. Overall excellent to good results were achieved in 85% cases.</p><p class="abstract"><strong>Conclusions:</strong> The potential advantages of the proximal femoral locking plate over intramedullary devices are better biomechanical design, ability to bear more stress due to, strong biomechanical stability shows that this technique holds considerable promise in complex, comminuted fractures in revision cases and in osteoporosis.</p>