Aim of study was to access functional outcome in unstable dorsal PIP joint fracture dislocations. We evaluated 25 patients age between 18 to 35 years. Eligible patient had unstable dislocations with comminuted fractures involving at least 40% of the volar middle phalangeal surface. Outcomes were assessed by Motion/stability, grip strength and visual analog scales of pain and function. The mean follow-up period was 20 (range 18-29) months. Surgery performed 38 days after injury (range 8-90 days). Average PIP motion was 88° range (75-110); DIP motion was 80° range (75-90), PIP flexion contracture 6.2° range (0-15 0 ). Hemi-hamate arthroplasty provides good functional outcome with minimal donor site morbidity.

Objective: Calcaneal fractures are caused by a high velocity force to the heel, mostly in road trafc accidents or fall from height. Debate continues regarding the best management of calcaneal fractures. We aim at evaluating the radiological and functional outcomes of displaced intra-articular calcaneal fractures treated with Ilizarov ring xation. Methods: intra-articular calcaneal Eighteen consecutive patients with fractures [Sanders type II (10), Sanders type III(6), and Sanders type IV (2)] were treated with the Ilizarov ring xator from Sep 2017 to June 2020. Patients were evaluated in terms of associated injuries and x-rays of anteroposterior, lateral and axial views of the calcaneus. CT scan was done to assess the amount of comminution and articular depression. Patients were followed up clinically and radiologically at least for 1 year. Functional outcome was assessed using the American Orthopaedics Foot and Ankle Society (AOFAS) scale. Radiological assessment was done by Bohler's angle and Gissane's angle along with measurement of calcaneal height and width. Results: At average follow-up of 18.5 months, average AOFAS score was 80.5 (range 71 to 90), with 6.25% having excellent, 75% having good, 12.5% having fair and 6.25%having poor results. All patients had stable ankle joint with all having dorsiexion and plantar exion more than 30°. All patients are able to wear their previous size shoes. The mean Bohler's angle, mean Gissane's angle, calcaneal height and width were 21.5°, 126.3°, 4.36 cm and 3.80cm respectively at nal follow-up. Four patients had supercial pin tract infection. One patient had collapse of posterior facet after removal of xator with peroneal tendinitis. All fractures united and none needed secondary bone grafting. Patients returned to work on an average of 5.5 months. Conclusion: Ilizarov external ring xation gives good functional outcomes, manifested by restoring near normal anatomic reconstruction of morphology and alignment of the calcaneus. The added advantages of these procedures are the considerably shortened operating time and hospital stay, no need of highly equipped operation theatres and the reduced risk of complications related to surgical exposure.

Background - In knee joint injuries, clinical examination, radiographs and CT scan is not enough to diagnose many internal derangements of this joint. MR studies are required to assess the injuries of the menisci, cartilage ligaments or bone. A cross-sectional, Materials and methodsanalytical–observational study was conducted at the Department of Radiodiagnosis. A total of 65 patients with clinical suspicion of knee ligament injury and were referred for MRI were examined, 41 patients were males and 24 were females, their ages ranging from18 to 60 yrs. ACL Resultstear was the most common lesion, presented in 53.84 % cases out of which 29.32% cases were partial tear and 24.62% cases were complete tear. Medial Meniscus tear was the second most common lesion. 25% cases presented with combined injuries and 75% cases presented with isolated injuries. The predominant pattern was ACL and MM tears, followed by ACL tear and LM tears. Correlation between MRI and arthroscopic ndings are statistically signicant with (88%) of the cases showed good correlation between MRI and arthroscopic ndings. The study Conclusionsrevealed the ability of MRI in evaluation of the various internal derangements, including their detection, types (partial/complete tear) localization, characterization and assessment of extent of damage and the strength of correlation between MRI and arthroscopic helped the orthopaedic surgeons as a conservative approach was indicated in partial tears while a repair/reconstruction was indicated in a complete tear.

<p class="abstract"><strong>Background:</strong> Fingertip injuries are the most common injuries of the hand. Although maintenance of length, preservation of the nail, and appearance are important, the primary goal of treatment is a painless fingertip with durable and sensate skin. Restoration of original form or reconstruction of the most comfortable and functional compromise is the substance of challenge assured by the surgeon who manages the injured fingertip.</p><p class="abstract"><strong>Methods:</strong> This descriptive study was done to evaluate the outcomes of various management (conservative, primary closure, SSG and various flaps) of fingertip injuries of 180 patients from December 2014 to 2016.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 180 patients, 30 dropped out, 76% were males and 24% were females. 68% were children and labor class. Index finger was involved in 55% cases. 42% injuries were due to machine injuries and door entrapment. Conservative and cross finger flap has better outcomes.</p><p class="abstract"><strong>Conclusions:</strong> This is a preliminary report of 150 cases of the fingertip injuries with the problem of tissue loss. Most patients were injured while working. Majority of trauma was caused by various machines. Various methods had been chosen depends on type of injuries, age and occupation.</p>

Introduction: Medial Collateral ligament (MCL) is the primary stabilizer of knee joint against valgus stress force. Sprains of MCL are fairly common due to any injury and are treated conservatively most of the time. These have been classified by Hughston in grades I, II and III based on the severity. While grades I and II mostly have only sprain of the ligament, grade III is complete tears and may warrant surgical correction. Stener-type lesion is a rare finding seen with grade III MCL injuries. Here, superficial MCL (sMCL) tears at its distal insertion and is retracted upwards leading to pes anserinus tendon to lie in between the bed and its distal end. This does not allow the MCL tendon to regain its attachment to bed and needs surgical correction. Material/Methods: We report five patients who presented to us with stener-like lesion. They were then operated with repair of MCL tendon and its reattachment to the Tibial bed using similar techniques. Pre-procedure outcome values (Lysholm score and KOOS score) were evaluated and the patients were followed up for 1 year. At the final follow up, final outcome values were calculated along with complete clinical examination was done. Results: All five patients were fully satisfied and reported no problems in resuming work and daily activities. Clinical evaluation was done and there was reported no joint laxity or opening of joint line with varus/valgus stress conditions. There was a complete range of motion reported in all patients. There was no limping/misalignment or gait disturbances reported at the end of follow up in any of the patients. Conclusion: Stener-type lesion of knee is rare and is needed to be explored further. Our study emphasizes the early diagnosis and surgery with excellent results of cases reported in due course of time. Very limited literature is currently available for this severe sMCL injury. Thus, longer studies involving a larger number of cases and extended follow up are needed in future to explore the ways of early diagnosis and various treatment options further.