Introduction: Open reduction and internal fixation has been recommended as the treatment for most unstable injuries of the Lisfranc (tarsometatarsal) joint. It has been thought that purely ligamentous injuries have a poor outcome despite such surgical management. Aim and Objective: The aim of this study was to evaluate the outcome of early open reduction and internal fixation in the management of patients with Lisfranc injuries. Materials and Methods:The study was conducted in the Department of Orthopaedics, Govt. Bone and Joint, Hospital, Barzulla an associated Hospital of Govt. Medical College, Srinagar on Lisfranc joint. In this study a total of 18 cases of Lisfranc injuries were enrolled. Results: Full weight bearing was allowed at 10-12 weeks. Anatomical reduction was obtained in 17 (94.44%) patients. At the follow-up of 6 months the average calculated AOFAS Score was 83.28. In this study overall complications were seen in 4 (22.22%) patients. Good to fair results were seen in 17 (94.44%) patients. Conclusion:Open reduction and internal fixation with Kirschner wire offers excellent curative effect and can avoid postoperative complications and improve the patients' quality of life.

Introduction: Proximal humeral fracture pattern varies based on the mechanism of injury and the patient's age at the time of the injury. The purpose of this study was to prove short-term clinical and radiographic results of closed reduction and percutaneous pinning in displaced proximal humeral fractures in pediatric patients. Materials and Methods:We conducted this prospective study in Govt. Bone and Joint Hospital Barzulla an associated Hospital of Govt. Medical College Srinagar. A total of 18 paediatric patients with proximal humeral fractures were enrolled in this study between July 2019 and June 2022. The mean age of the study population was 10.98 (range 7-15) years. Results: Average time to union was 5 and a half week with a range from 4 and a half to 6 and a half weeks. Average time to pin removal was 5 (range 4-6) weeks. As per Constant-Murley scoring criteria 13 (72.22%) patients were excellent, 3 (16.67%) were good and 2 (11.11%) were fair. Among 18 patients, 16 (88.89%) had no pain at the end of the follow-up. 13 (72.22%) patients had active flexion above 150 0 . There were 15 patients with full muscle strength. In this study superficial wound infection was seen in 3 (16.67%) patients which subsided with oral antibiotics. In 1 (5.56%) patient of stiffness physiotherapy was done and achieved good result. 14 (77.78%) patients showed no complications. Conclusion: Closed reduction and percutaneous pinning gives more stability for the severely displaced proximal humeral fractures with rotational or angular instability in paediatric population.