Background: Supracondylar fractures of humerus are one of the most common fractures in paediatric age group. Closed reduction and percutaneous K-wire fixation is one of the most commonly used treatment modality in Gartland type 3 fractures. A prospective randomized controlled study was undertaken to compare whether parallel k wires are better in terms of the stability, functional outcome and iatrogenic ulnar nerve as compared to cross k wire (medial and lateral). Material and methods: This is a prospective comparative randomized controlled trial. A total of 30 patients of displaced supracondylar fracture aged between 5-13 years, without any compound injury or comminution were enrolled for the study and randomly divided into two groups, each of 15 patients. One group was assigned treatment of crossed pinning and other group with lateral pinning respectively and outcome was evaluated on basis of pain, motion, stability and function according to Mayo's elbow score and follow-up was maintained for a period of 45 days and statistical significance was calculated. Results: After assessment of 15 patients in each group we found out that mean mayo score was 98 in cross pinning group and 96.83 in lateral pinning group. This difference is statistically not significant. Conclusion: In our study we conclude that, lateral pinning is an equally good treatment choice in these fractures and especially for grossly swollen elbows. Also, risk of ulnar nerve injury during placement of medial pin is eliminated in lateral parallel k wires. Both the methods offer consistently satisfactory functional and cosmetic results.

To analyse the functional outcome of Ankle joint after medial malleolar fracture treated with ORIF with TBW and CC Screws. Materials and Method: This is prospective study done in Krishna medical college and hospital, karad (Satara). In this study 30 cases of Medial malleolar ankle fracture were analysed. Muller Classification used. Road traffic accident, Twisting injury and fall from height are major mode of injury. 4.0 mm Cannulated cancellous screw and TBW were used for fixation. Results: According to Baird and Jackson scoring system out of the 30 patients treated, 86.66% had excellent to good results and 13.66% had fair results. On comparing the results in both groups, better results were seen in TBW group as compared to CCS group. Conclusion:In this study we observed that the functional outcome of Ankle joint after medial malleolus fracture treated with open reduction and internal fixation with tension band wiring gives better results in range of motion and union as compared to open reduction and internal fixation with 4.0 mm cannulated cancellous screws. Thus, we conclude that open reduction and internal fixation with tension band wiring give better functional and radiological outcomes as compared to cannulated cancellous screws.

Background: Degenerative changes in the knee occur with increasing frequency after the third decade of life. In early osteoarthritis with no mal-alignment of the knee, arthroscopic surgery is an attractive alternative for many elderly patients as it reduces the degree of surgical insult and postoperative rehabilitation with hope of restoration of painless mobility. To study the role of arthroscopic debridement in alleviation of pain in cases of osteoarthritis knee and to evaluate the effectiveness of arthroscopy in diagnosis of osteoarthritis knee and its co-relation with radiological diagnosis. Methods: The present study is cross-sectional study of consecutive cohort of 53 patients. Body mass index was calculated based on height and weight of the patients and from their assessment of X-Rays patients were graded from 0 to 4 based on Kellegren-Lawrence radiological grading method. Selected patient were then assessed by pain domain of the knee society scoring system, which is joint specific score ranging from 0 to 50. These patients were then subjected to arthroscopic examination and debridement. Results: Overall 17 (32.08%) out of total 53 cases studied showed improvement after one year. Majority of patients improved were grade 2 (57.89%) but none of the grade 4 patients showed improvement at 1 year. Conclusions: Arthroscopic debridement does not influence the ongoing pathological process; it is only useful for symptomatic relief in cases of low grade osteoarthritis where it provides pain relief. Conversely, in patient with sever osteoarthritis there is very limited role of arthroscopy.

Background: Clavicle fractures account for approximately 2-4% of all adult fractures and about half of all fractures in the shoulder girdle. Conservative management poften leads to cosmetic deformities, complications such as axillary pressure sores, upper extremity edema and venous congestion, brachial plexus palsy, worsening of deformity and increased risk for non-union. There are two commonly performed surgical techniques used to repair displaced midshaft clavicle fractures, open reduction and plate fixation and intramedullary nailing. The present study was conducted to evaluate the end results of Mid shaft clavicle fractures treated in Tertiary Care Centre by various surgical modalities and to evaluate the effectiveness of the different modalities of the treatment and their complications. Materials and Methods: The present study was a Randomized, Prospective study carried out from October 2016 to March 2018 among patients admitted with midshaft clavicle fractures operated with intramedullary nailing and Open reduction and internal fixation with plating, patients were selected which were operated during the study duration at

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