Introduction: Minimally invasive plate osteosynthesis (MIPO) is an established technique for fixation of fractures of the distal third tibia. Minimally invasive plating offers the advantage of fracture fixation without disturbing the soft tissue cover, less chances of infection, early mobilization of patient. Using a locking compression plate reduces the tendency for varus collapse and at the same time affords better stability Our study aimed to manage intra articular and extraarticular fractures of the distal third tibia by the minimally invasive plate osteosynthesis technique and follow them. Clinical and radiological outcomes were studied, and clinical indications & efficacy of the procedure reviewed. Materials and Methods: An ambispective analysis of 30 patients of closed distal tibial fractures were operated by MIPO technique. Bone and soft tissue healing and complications encountered were analyzed. Result: It has been a well-known fact that distal tibia fractures have recently been treated by minimally invasive techniques. Literature above says that there is risk of disrupting blood supply with open reduction internal fixation leading to soft tissue healing problems. However, we did not face any of these complications in our patients, infection or wound breakdown with implant exposure. Conclusion: Distal tibial fractures can successfully be treated by single stage MIPPO plating. Considering a proper surgical timing, respect for soft tissue handling, a good fixation can be achieved. Minimally Invasive Osteosynthesis of distal tibial fracture produced reliable results with acceptable range of movement and resuming early return to activities of daily living.

Introduction: Incidence of fracture of neck of femur is increasing in young adults. Dynamic Hip Screw with a derotation screw or CC screw is used in operation to reduce and stabilize femoral neck fractures. the commonest complications of intracapsular fractures of neck femur are non-union and avascular necrosis. Material And Methods: The study included 40 patients with history of trauma and diagnosed with fracture neck of femur. After thorough evaluation of patient , Pre-operative radiograph of pelvis with both hips were taken. Routine preoperative profile was done in each patient, along with pre-anesthetic check-up. Follow-up X-rays were taken at each follow-up, which were scheduled at 6 weeks, 3 months, 6 months and at 12 months. Functional and radiological outcome were assessed by scoring Modified Harris Hip Score Observation And Results At 12 months: The mean Harris Hip Score in Group 1 was 84.69 ± 4.51 and in Group 2 it was 90.68 ± 2.54. The mean Harris Hip score at 12 months was significantly higher in Group 2 as compared to Group 1 (P=0.001). Conclusion: When it came to treating fractures of the neck of the femur in young adults, our research found that dynamic hip screw fixation performed better than cancellous screw fixation. In terms of functional outcome, the dynamic hip screw had a higher Harris Hip Score and a lower rate of avascular necrosis. Based on the findings of this study, we recommend using a dynamic hip screw rather than a cancellous screw to fix a fracture of the neck of the femur. We recommend larger studies because there is a lack of research comparing these two fixation modalities.

Introduction:The principle of wound treatment after joint arthroplasty, closed suction drainage, is well established. The effectiveness of this method has recently come under scrutiny. The use of closed suction drains is currently regarded as debatable. There isn't much information available to help the surgeon determine how long the drain should stay in place. Typically, this has only ever included directions. This has typically just included directives like "remove drains once drainage has ceased or becomes negligible," which can take anywhere between 24 and 72 hours following surgery Results: Average wound drainage shrank during time. When compared to TKAs, THAs have comparable quantities. The first 24 hours for both groups saw the largest drainage. Thus, effective antibiotic prophylaxis gradually declines with time; this observation supports the notion of early drain removal. In conclusion, this study supports the use of drains to reduce hematoma formation and avoid infection and perioperative wound morbidity while simultaneously highlighting the significant infection risk associated with the drains themselves. Conclusion: Average wound drainage shrank during time. When compared to TKAs, THAs have comparable quantities. The first 24 hours saw the highest drainage for both groups (56% for the hips and 64% for the knees). The percentage of infected drains increased noticeably after 48 hours.