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Optimal method of humeral shaft fracture fixation remains in debate till date. Two techniques under study include intramedullary nailing and dynamic compression plate fixation. Plating provides satisfactory results but requires extensive dissection and meticulous radial nerve protection. Theoretical advantage of intramedullary nailing included less invasive surgery, undisturbed fracture hematoma and use of load sharing device support. Purpose of this study is to compare outcomes of each method of fixation for fracture shaft of humerus. MATERIALS AND METHODS: Patients with diaphyseal fractures of the humerus were divided in two groups of 20 treated with dynamic compression plate or with intramedullary interlocking nail. Postoperatively both groups received same type of physiotherapy. They were followed up regularly. Time taken for radiological union in two groups was compared. After satisfactory radiological union, functional outcome was assessed by "Disabilities of Hand, Shoulder and Elbow (DASH) Questionnaire". RESULTS: Functional outcome was better in DCP group compared to interlocking nailing group which was statistically significant (P= 0.062). Rate of healing was marginally better in DCP group as compared to I.M nail. CONCLUSION: We are of opinion that when surgery is opted as a choice of treatment, both modalities of treatment i.e. dynamic compression plating and interlocking nailing are good as far as union of fracture is concerned, but considering number of complications and functional outcome, we opine that dynamic compression plating offers better result than antegrade interlocking nailing with respect to pain and function of shoulder joint.

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Fractures of the shaft humerus are one of the basic breaks influencing present age and treatment methodology must be chosen cautiously. Both the modalities of treatment for example dynamic pressure plating and interlocking nailing were utilized. Present study was quantitative approach with comparative survey design. This study was conducted in teaching hospital Karad. The sample size was 30 patients selected by non-purposive, sampling technique with fracture shaft of the humerus. Result indicated that out of these 30 patients, we had 15 in the DCP gathering and 15 in the interlocking gathering. The normal period of patients was 36.46 years with 19 guys and 11 females. The confusions were more in the interlocking gathering with the vast majority of them relating to poor shoulder work with torment. In spite of the way that the two modalities of treatment offer incredible affiliation, the pace of assistant complexities were more in the interlocking nailing gathering, which makes dynamic weight plating a continuously decent decision. In situations where both powerful pressure plating and interlocking nailing should be possible, we would want to utilize dynamic pressure plating, as the outcomes are better than interlocking nailing.

Background: The incidence of femoral neck fractures, one of the most common traumatic injuries in the elderly increases continuously due to the ageing of population on the planet and urbanization. Aims and Objective of the Study: To study the incidence of intracapsular femoral neck fractures in the elderly population with respect to age, sex, occupation, fracture type and laterality of injury. Materials and Methods: The prospective study included 30 patients with intracapsular femoral neck fractures referred to the Department of Orthopaedics, Ashwini Hospital, Gulbarga were selected for this study. Patients with intracapsular femoral neck fractures and aged above 55 years were considered. Patients were briefed about the nature of the study, the interventions used and written, informed consent was obtained. Further, descriptive data of the participants like name, age, sex, detailed history, were obtained by interviewing the participants and clinical examination and necessary investigations were recorded on predesigned and pretested proforma. Results: Majority of the patients (seven patients, 23.33%) were in the age group between 71 to 75 years and five patients, (16.67%) each were in the age groups of 55 to 60 years, 76 to 80 years and above 80 years. In the present study, out of the 30 patients there 18 were female accounting to 60% and 12 male patients making up the remaining 40%. The average interval between admission to the hospital and surgery was 3.6 days with a range of 01 to 17days. The average duration of hospital stay was 13.3 days with a range of 7 to 26 days. The duration of hospital stay is less in our series as the patients were mobilized early. Out of 18 female patients 14 females were house wives. Three were retired from job, and one was self-employed. Among the males, seven were retired from their jobs, four males were businessman and one male patient was self-employed. Majority of the fractures occurred due to fall in bathroom (56.67%) and fall in living room (30%). Right side involvement was more commonly seen than the Left in this study group. Right side was involved in twenty patients making up for 66.67% of the fractures and the left was involved in ten patients accounting for 33.33% of the fractures. Out of the 30 fractures, majority were type IV fractures (23 patients) accounting for 76.7%. Remaining 23.3% (07 patients) were type III fractures. Conclusion: In conclusion, hip fractures are a serious injury in the elderly population. There is a very mortality rate and morbidity rate following hip fractures in the elderly. Once diagnosis has been made, appropriate stabilization of the patient from a medical standpoint and rapid operative fixation of the fracture or prosthetic replacement helps patients obtain a better functional result. Adequate rehabilitation in an inpatient setting, as well as at the patient's home with home health is an important adjunct to an overall successful outcome.