Background: The distal radius metaphysis is composed mainly of cancellous bone. On articular surface there is a biconcave articulating surface with the proximally placed carpal row (scaphoid and lunate fossae) and also a notch for articulation with the ulna. Objective of the research was to study the functional outcome in distal end radius fracture with volar displacement treated by locking compression plate. Methods: A hospital based descriptive, longitudinal study was conducted with 114 patients aged between 20-60 years to assess functional outcome in patients of distal end radius fracture with volar displacement treated by locking compression plate. Results: According to demerit point score system of Gartland and Werley, 75 (69.4%) patients had excellent score while 24 (17.5%) and 15 (13.1%) patients had good and fair score respectively. No patient had poor score. 6 (5.3%) and 2 (1.8%) patients had superficial infection and hypertrophic scar respectively while 1 (0.9%) patient had developed malunion. Conclusions: Volar plating has excellent functional outcome with minimal complications thus proving that it is the prime modality of treatment for distal radius fractures.

Background: Among the different fixation procedures for intertrochanteric fractures, dynamic hip screw fixation is the most used therapy. Present study evaluated the risk factors affecting the outcome of intertrochanteric fractures managed by dynamic hip screw fixation. Methods: This was an observational retrospective study conducted between March 2021 and February 2022. Patients with intertrochanteric fractures aged >60 years presenting within a week after incurring the fractures were enrolled. Evan’s and AO/OTA classification were used to categorize patients. “Failed” surgery was considered based on one of the following radiographic criteria. Functional outcomes were assessed at 6-months by Harris hip score (HHS). Results: 40 patients were enrolled, majority being females (n=22, 55%) with mean age of 67.79±4.76 years. Commonest mode of injury was fall while standing (n=32, 80%). Based on Evans classification, majority cases were stable fractures (n=25, 62.5%). By the AO/OTA classification, majority patients were under A2 class (n=22, 55%). The 30 cases (75%) had outstanding to good outcomes based on HHS assessment. 8 patients (20%) had “failed” surgical outcomes of which commonest presentations were >20 mm lag screw pull-out (n=4, 10%) and mal union (n=2, 5%). Mean age, and number of obese patients were found to be significantly greater in the “failed fracture” subgroup, versus “united fracture” subgroup (p<0.05). Significantly greater number of cases in “failed fracture” subgroup belonged to Evans’ class IV or V, and to A3 class of AO/OTA classification (p<0.05). Conclusions: Patient factors like greater age, obesity and intertrochanteric unstable fractures as indicated by Evans’ and AO/OTA classification were risk factors affecting the outcome of intertrochanteric fractures, managed with dynamic hip screw.

: Ilizarov fixator for open tibia fractures permits axial micro mobility at fracture site to encourage bone regrowth. Literature search revealed dearth of studies from Indian centres which have evaluated its utility in open tibia fractures. : This was an observational prospective study conducted by Department of Orthopaedics at VVPF Medical College, Ahmednagar in Maharashtra, between July 2021 to June 2022. All patients who had open tibia fractures and managed by Ilizarov ring fixator were included. Duration of treatment with fixator was evaluated, along with range of motion at knee and ankle, union status and complications.: 30 patients were enrolled, majority being males (n=22, 73.33%). Most patients suffered from fractures of right side (n=21, 70%) confined to metaphyseal region (n=16, 53.33%). Commonest mode of injury was road traffic accidents (n=26, 86.67%). Based on Gustilo-Anderson classification, majority cases were grade IIIA (n=16, 53.33%). 23 cases (76.67%) were managed initially with external fixators, while 7 cases were directly managed with Ilizarov ring fixator. Most cases (n=15, 50%) received definitive fixation on day-3 of injury. Commonest complication noted was pin site infection (n=11, 36.67%) and delayed union (n=4, 13.33%). Knee stiffness at 30was noted in 3 cases, corrected by physiotherapy. All patients attained fracture union, with the earliest evidence of radiological union observed after 2 months of surgery. : As it allows for early full weight bearing mobilisation, has higher union rates and lesser incidences of malunion, use of Ilizarov external fixator maintains its importance in the management of open tibial fractures.