Introduction: Orthopaedic injuries involving the olecranon are among the most often encountered in the emergency department. Objective: To determine the functional outcomes of displaced olecranon fracture fixed with intermedullary partially threaded screw augmented with tension band wiring Material and methods: This Descriptive/multicentric case series was conducted in Department of Orthopedics, Bahawal Victoria Hospital/Civil (Sadiq Abbasi) Hospital, Bahawalpur during June 2019 to June 2021. Patients who came through the emergency department and met the inclusion criteria were enrolled and given informed permission after clearance from the hospital's ethics committee. During general anesthesia or a biere’s block, all patients received tension band wire and intramedullary screw fixation. Results: Functional outcomes of displaced olecranon fracture fixed with intermedullary partially threaded screw augmented with tension band wiring was recorded as excellent in 57.39%(n=66), 32.17%(n=37) had good outcome, 10.44%(n=12) had fair outcome. Conclusion: We concluded that that functional outcomes of displaced olecranon fracture fixed with intermedullary partially threaded screw augmented with tension band wiring is good; however, validation is required through other local studies. Key words: Olecranon fracture, Intramedullary partially threaded screw, Tension band wiring, and Campbell’s posterolateral approach

Background: Percutaneous pining among children with displaced supracondylar fracture of the humerus, may offer additional benefits to patients in terms of outcome. Objective: To determine the union of fracture and range of motion at elbow, in supracondylar fracture, among children, with closed reduction and percutaneous pinning. th th Methodology: A cross-sectional study was conducted, from 19 December 2016 to 19 May 2018, at Ortho Unit 2, Nishtar Hospital, Multan, patients of both sex, having supracondylar fracture (Gartland type II and III) diagnosed st radiographically, and presenting within 1 week of injury, were included, and patients with a history of previous surgery or trauma over the arm, compound fracture and neurovascular compromise, were excluded. All patients were operated for the fracture (closed reduction and pinning under image intensifier). The patients were discharged the next day after the procedure. The follow up completed at 6 weeks postoperatively by Flynn's criteria. Results: Out of 254, 202 (79.5%) patients were fulfilling the satisfactory level of outcome, 52 (20.5%) patient showed an unsatisfactory level of outcome according to operational definition In this study, 96 (37.8%) males and 106 (41.2%) females patients shows satisfactory outcome whereas 23 (9.1%) males and 29 (11.4%) females patients showed unsatisfactory level of outcome (p= 0.04). Out of 254 patients 59 (23.2%) showed excellent, 94 (37%) good, 49 (19.3%) fair and 52 (20.4%) poor outcome based on Flynn's criteria. Conclusion: From our study, the percutaneous pinning of displaced supracondylar fracture of humerus among children under image intensifier is the effective method of treatment in our study setting.

Objective: The aim of this study is to determine the effectiveness of arthoscopy in knee osteoarthritis treatment. Study Design: Prospective study Place and Duration: Conducted at Victoria hospital Bahawalpur/Civil (sadiq Abbasi) hospital Bahawalpur, during from June 2019 to June 2021. Methods: There were 70 patients of both genders suffering from knee osteoarthritis presented in this study. Patients were aged between 25-80 years of age. Detailed demographics of enrolled cases age, sex, body mass index and weight were calculated after taking informed written consent. Kellgren Lawrence scale was used for grading of osteoarthritis. MRI and plain X-ray was done among cases. Post-operatively Lysholm score was used to diagnosed outcomes. Patients were followed for 24 months. Complete data was analyzed by SPSS 24.0 version. Results: Majority of the patients were females 40 (57.1%) and 30 (42.9%) were males. Mean age of the patients was 51.41±7.44 years with mean BMI 32.18±9.31 kg/m2. Mean weight of the patients was 93.17±5.64 kg with mean height 169.9±5.68 cm. We found that 30 (42.9%) had left knee, 26 (37.1%) patients had right knee and 14 (20%) had bilateral. According to Kellgren Lawrence scale 40 (57.1%) patients had grade 2, 22 (31.4%) cases had grade 3 and 8 (11.4%) cases had grade 4 osteoarthritis. Most common symptom was pain among 69 (98.6%) cases followed by swelling 50 (71.4%). According to Lysholm score 36 (51.4%) cases showed good results with score after complete follow up 80.73±7.54. Overall maximum improvement of pain relief among grade 2 osteoarthritis was seen in 28 (70%) cases. Conclusion: We found in this study that arthoscopy for in knee osteaoarthritis resulted in symptomatic improvement among patients of low grade osteoarthritis where it gives pain alleviation. This arthroscopic therapy regimen can enhance function and activity levels in patients with moderate to severe osteoarthritis. Keywords: Arthoscopy, Knee osteoarthritis, Pain, Lysholm score, Kellgren Lawrence scale