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The management of difficult to heal wounds has always been a cause of concern for the treating clinicians. There has been a tremendous increase in the number patients presenting with difficult to heal wounds. The conventional techniques have been in use since the long time for the management of these wounds, yet desired results are not achieved always. Thus a newer novel technique which might be useful in the difficult to heal wounds and delivering at par or better results as compared to the conventional techniques is the need of the hour.

The world is facing a number of emerging infections. The latest outbreak of Zika virus infection has only added to the suffering. The WHO declared a state of emergency in the affected countries and has issued alarms worldwide. The paucity of literature leading to lack of clear guidelines is one of the most important factors resulting in a higher number of cases. The absence of clinical vaccine and an antiviral drug may prove to be a really grave situation. The present paper throws some light on this new emerging virus that has been known to man since 1947.

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>Tibial plateau makes up one of the most important weight bearing surface. Its fractures are commonly faced entity encompassing a wide spectrum of injuries of variable fracture morphology. Due to in-crease in incidence of high velocity trauma and higher functional demands of patients, surgery is warranted in most of the cases. Although, there is advancement in fracture fixation methods, apt treatment of tibial plateau fractures still remains controversial.</p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong><span lang="EN-US"> In our series, we analyzed the functional outcomes of 58 of surgically treated tibial plateau fractures. Fractures were classified with Schatzker’s classification. Various fixation modalities of fixation were employed. Functional outcome was evaluated with modified Rasmussen’s criteria.<strong></strong></span></p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>Most of the patient’s belonged to younger age groups (58.62%) and males (79.31%) were predominately involved. Road traffic accidents were the most common etiological factor (70.69%). Schatzker types I (29.31%) and II (27.59%) were the most common observed fracture type. The majority of the patients had a complication free recovery (81.03%). Infection was reported in only one case (1.72%). Similarly, malunion was noticed in only in one case (1.72%). None of the patients had complications like nonunion or neurovascular damage. The functional outcome assessment according to Modified Rasmussen’s criteria at the end of 12 months showed the excellent functional outcome in 41 (70.68%), good in eight (13.79%), fair in five (10.34%) and poor in four (6.9%) patients.</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Surgical treatment of tibial plateau fractures is challenging, yet it helps in achieving excellent anatomical restoration and rigid fracture fixation enabling in the restoration of articular congruity and facilitation of early knee motion thus achieving optimal knee function.</p>

Background: The aim of this study was to identify the effect of smoking on bone healing and other complications encountered in treatment and follow up of distal femur fracture. Methods: A total of 54 patients with AO type B and C Distal femur fracture were included during the study period. All the patients were treated with distal locking compression plating. Functional outcome was recorded on the basis of American knee society scoring system. Results: The mean radiological union time and incidence of post-operative infection was significantly higher in smoker as compared to non-smokers. Total American knee society score was similar in both the groups. Conclusion: Smoking affects the fracture union in distal femur fracture patients. Smokers have more infection rate and more stiffness compared to non-smokers. It is recommended to stop smoking during fracture treatment.